Authors: Tadashi Tashiro Hideichi Wada Masaru Nishimi Noritoshi Minematsu
Publish Date: 2013/08/01
Volume: 61, Issue: 8, Pages: 429-434
Abstract
In coronary artery bypass grafting CABG coronary artery anastomosis is generally performed under cardiac arrest using cardiopulmonary bypass CPB To avoid the invasiveness of CPB offpump coronary artery bypass OPCAB is currently also used In Japan in particular OPCAB now accounts for 60 of all CABG operations and has become a standard surgical procedure We herein provide a discussion of OPCAB The goals of coronary artery bypass surgery are to achieve complete revascularization and maintain a high rate of graft patency for the long term This requires stable exposure of the coronary arteries including those located on the posterior surface of the heart and the formation of goodquality anastomoses Achieving this depends not only on the competency of the individual surgeon but also on smooth and effective teamwork among everyone involved including the other surgeons anesthetists clinical technicians and nurses It is important for surgeons and surgical teams to examine their own outcomes and engage in selfscrutiny in an endeavor to improve these outcomes
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