Current State-of-the-art of Coronary Artery Bypass Surgery

Early Postoperative Outcome of Off-Pump Coronary Artery Bypass Grafting: A Report from the Highest-Volume Center in Japan

“…In addition, use of the aorta no-touch technique, in which in situ arterial grafts are used for all grafts to avoid manipulation of the ascending aorta, has been shown to reduce the occurrence of stroke. 15) Our institution also chose in situ arterial grafts whenever possible. The use of LAA A/C and the aorta no-touch technique might contribute to reducing perioperative mortality and morbidity rates.…”

“…After completion of all anastomoses, a transit time flow measurement device was used to ensure sufficient blood flow in all the grafts, and the bypass was completed. 15) In order to prevent postoperative arrhythmia-induced cardiac emboli, left atrial appendage amputation and/or occlusion (LAA A/C) has been performed in our institution since 2012. This is because the LAA is the main source of emboli in patients with atrial fibrillation (Af), which is the most prevalent arrhythmia after cardiac surgery.…”