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The Journal of Thoracic and Cardiovascular Surgery, Vol 73, 75-83, Copyright © 1977 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association
DW Miller, EA Hessell, LC Winterscheid, KA Merendino and DH Dillard
A survey of techniques used in coronary artery bypass graft (CABG) surgery
by 400 experienced cardiac surgeons is presented. These surgeons performed
41,000 CABG operations in 1975. A seventy-question survey form was answered
by each surgeon on their techniques for cardiopulmonary bypass and
myocardial preservation, choice of bypass conduit, and grafting techniques.
We found that extracorporeal circulation is almost always used in CABG
surgery. A wide divergence of practice exists in the use of left
ventricular vents and in methods of myocardial protection during coronary
artery grafting. A spectrum of graft suture techniques is employed, the
most common being a running double-ended suture anastomosis with the end of
the vein initially fixed only at its heel to the coronary artery. Only 23
surgeons (6 per cent) prefer the internal mammary artery (IMA) rather than
saphenous vein, when feasible, as the bypass conduit of choice for CABG
surgery.
ARTICLES
Current practice of coronary artery bypass surgery. Results of a national survey
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