J.Jpn. Surg. Soc.. 79(8): 837-840, 1978
Report on the annual meeting
CORONARY ARTERY SURGERY
－A-C BYPASS TECHNIQUES AND GIANT LEFT VENTRICULAR ANEURYSMECTOMY－
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2nd Dept. of Surgery, Nihon University School of Medicine, Tokyo Yukiyasu Sezai, M.D. |
1) A-C bypass procedure: Coronary artery is opened with the aid of an artificial heart-lung machine and topical cooling, and the bypass graft is sutured to the coronary artery all around itself with 6-0 silk suture using an interrupted suture technique. Then the other end of the bypass graft is sutured to the aorta via the transverse sinus under the consideration of the movements of the bypass graft. The patency of graft attained has been 96%. Bridge bypass is often used, also, with good results in cases where the patient has developed multiple coronary artery disease or where other serious complications are involved.
2) Left ventricular aneurysma adhesing to pericardium: An attempt is not usually made to separete the adhesion in any forcible manner. Rather, we apply a surgical knife directly to the aneurysma and remove it by incision. This peocedure has proved very successful.
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