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Off-pump coronary artery bypass grafting without mechanical stabilization in minipericardiotomy

Cardiothoracic Surgery Department, Policlinico ‘Multimedica’ Via Milanese, 300 Sesto S. Giovanni, Milano 20099, Italy

*Corresponding author. E-mail address: pietro.dibiasi{at}multimedica.it (P. Di Biasi).

Stabilization and exposure of coronary vessels in off-pump bypass grafting is achieved by means of different and expensive mechanical stabilizers. We describe a new technique of stabilization and exposure of target vessels by using only a ‘double suspension-stabilization stitch’ without the support of mechanical stabilizers. In accomplishing left anterior descending and right coronary artery off-pump bypass grafting, this technique has resulted in a good hemodynamic stability, in no epicardial damage and surgical trauma, and finally it represents a costless procedure.

Key Words: Coronary bypass; Myocardial revascularization; Off-pump coronary artery bypass grafting