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Medical Archives
Periodical of AVICENA, d.o.o., Sarajevo
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ISSN: 0350-199X (Print)
ISSN: 1986-5961 (Online)
Language: [ English ]  
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  » Volume 68, Issue 4
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Open Access

Original Research



Anaortic Technique in Off-Pump Coronary Aretery Bypass Surgery

Alen Karic, Zoran Jerkic.

Abstract
Introduction: Techniques of coronary artery revascularisation on the beating heart have evolved with an attempt to reduce the potential deleterious effects of extracorporeal circulation. It is of particular value in those with a calcified or atheromatous ascending aorta. Total arterial revascularisation is ideal. Case report: We describe a case of 66 year-old male patient, previously suffered mild cerebrovascular incident, schedueled for myocardial revascularisation of double coronary disease with Left main stenosis. Method: Sternotomy was done in standard fashion. Both mamary artery were harvested and distal anastomoses were made in standard fashion by Prolen 8/0. For local stabilisation Medtronic Octopus vaccum stabiliser was used. Discussion: Feasibility to perform arterial revascularistion by using off-pump aorta no-thouch techniqe (anaortic technique) on the patient previously suffered stroke and with increasd risk of the same complication was presented. This technique is recommended whenever technically feasible.

Key words: cerebrovascular incident, coronary disease, stenosis, anaortic technique.



REFERENCES
1. Abu-Omar Y, Tggart DP. The present status of off-pump coronary artery bypass grafting. Eur. J. Cardiothorac. Surg. 2009; 36: 312-321.

[DOI via Crossref]   
[Pubmed]   

2. Vallely MP, Poteger K, Mcmillan D et all. Anaortic techniques reduce neurological morbiditiy after off-pump coronary artery bypass surgery. Heart Lung Circ. 2008; 17(4): 299-304.

[
DOI via Crossref]   
[Pubmed]   

3. Tatoulis J. Giant leaps in sutgical myocardial revascularisation. Heart Lung Circ. 2011; 20(3): 149-156.

[
DOI via Crossref]   
[Pubmed]   

4. Lev-Ran O, Braunstein R, Sharnoy R, Kramer A, Paz Y, Mohr R, Urtezky G. No-touch aorta off-pupm coronary surgery: the effect on stroke. J Thorac Cardiovasc. Surg. 2005; 129(2): 307-313

[
DOI via Crossref]   
PMid:15678040

How to Cite this Article
Pubmed Style

Karic A, Jerkic Z. Anaortic Technique in Off-Pump Coronary Aretery Bypass Surgery. Med Arh. 2013; 67(1): 77-78. doi:10.5455/medarh.2013.67.77-78



Web Style

Karic A, Jerkic Z. Anaortic Technique in Off-Pump Coronary Aretery Bypass Surgery. www.scopemed.org/?mno=33394 [Access: October 01, 2014]. doi:10.5455/medarh.2013.67.77-78



AMA (American Medical Association) Style

Karic A, Jerkic Z. Anaortic Technique in Off-Pump Coronary Aretery Bypass Surgery. Med Arh. 2013; 67(1): 77-78. doi:10.5455/medarh.2013.67.77-78



Vancouver/ICMJE Style

Karic A, Jerkic Z. Anaortic Technique in Off-Pump Coronary Aretery Bypass Surgery. Med Arh. (2013), [cited October 01, 2014]; 67(1): 77-78. doi:10.5455/medarh.2013.67.77-78



Harvard Style

Karic, A. & Jerkic, Z. (2013) Anaortic Technique in Off-Pump Coronary Aretery Bypass Surgery. Med Arh, 67 (1), 77-78. doi:10.5455/medarh.2013.67.77-78



Turabian Style

Karic, Alen, and Zoran Jerkic. 2013. Anaortic Technique in Off-Pump Coronary Aretery Bypass Surgery. Medical Archives, 67 (1), 77-78. doi:10.5455/medarh.2013.67.77-78



Chicago Style

Karic, Alen, and Zoran Jerkic. "Anaortic Technique in Off-Pump Coronary Aretery Bypass Surgery." Medical Archives 67 (2013), 77-78. doi:10.5455/medarh.2013.67.77-78



MLA (The Modern Language Association) Style

Karic, Alen, and Zoran Jerkic. "Anaortic Technique in Off-Pump Coronary Aretery Bypass Surgery." Medical Archives 67.1 (2013), 77-78. Print. doi:10.5455/medarh.2013.67.77-78



APA (American Psychological Association) Style

Karic, A. & Jerkic, Z. (2013) Anaortic Technique in Off-Pump Coronary Aretery Bypass Surgery. Medical Archives, 67 (1), 77-78. doi:10.5455/medarh.2013.67.77-78



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