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Beating coronary bypass with right-heart bypass |
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| Authors: | Toshiki Takahashi Shigeaki Ohtake Yoshiki Sawa Goro Matsumiya Hironori Izutani and Hikaru Matsuda |
| Institution: | Department of Surgery, Course of Interventional Medicine (E1), Osaka University Graduate School of Medicine, 2-2 Yamadaoka, Suita, Osaka, 565-0871, Japan. |
| Abstract: | Two patients with bilateral obstructive carotid artery disease underwent beating heart coronary bypass including revascularization of the circumflex branch using right-heart bypass in a stable hemodynamic state. Without this mechanical support, lifting the left ventricle for the exposure of the posterior wall could impair the hemodynamic state of the patient. Right-heart bypass in addition to aortic no-touch technique can be a safer option for complete coronary revascularization in patients at high risk for neurological complications. |
| Keywords: | heart beating coronary bypass right heart bypass carotid artery disease stroke aortic notouch technique |
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