Takahashi Toshiki, Ohtake Shigeaki, Sawa Yoshiki, Matsumiya Goro, Izutani Hironori, Matsuda Hikaru
Department of Surgery, Course of Interventional Medicine (E1), Osaka University Graduate School of Medicine, 2-2 Yamadaoka, Suita, Osaka, 565-0871, Japan.
Jpn J Thorac Cardiovasc Surg. 2002 Feb;50(2):81-4. doi: 10.1007/BF02919670.
Two patients with bilateral obstructive carotid artery disease underwent beating heart coronary bypass including revascularization of the circumflex branch using right-heart bypass in a stable hemodynamic state. Without this mechanical support, lifting the left ventricle for the exposure of the posterior wall could impair the hemodynamic state of the patient. Right-heart bypass in addition to aortic no-touch technique can be a safer option for complete coronary revascularization in patients at high risk for neurological complications.
