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J.Jpn. Surg. Soc.. 79(8): 841-843, 1978


Report on the annual meeting

TECHNIQUES OF AORTO-CORONARY BYPASS GRAFTING SURGERY AND LEFTVENTRICULAR ANEURYSMECTOMY

Since 1968, we have been experienced resection of ventricular aneurysma. And then, first case of Heart Institute of Japan, 10-Kawadacho, Shinjuku-ku Tokyo, Japan

A-C bypass was in 1970. Total cases were 136, Hospital mortality was 3.7% A-C bypass.
Use of nitroglycerin was continued in pre, during and post operative period. Preparation of saphenous vein carefully. A single RA cannula was used for venous return to the oxygenator. We choose to complete the distal anastomosis before undertaking the proximal anastomosis. The thermo-couple apparatus for graft flow measument after operation were inserted via skin. Ventricular aneurysmectomy.
If the LV apex was firmly adherent to the pericardium, we have been resected ventricular aneuryma with pericardium on cardiopulmonary bypass. The ventriculotomy was closed by interrupted and running sutures. The last two sutures were left untied and a venting cannula was passed into LV cavity.


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