Intraoperative graft assessment and imaging of native coronary arteries

  • Gabriele Di Giammarco
  • Daniele Marinelli
Review Article


The evaluation of native coronary arteries in cardiac surgery represents a useful tool to detect coronary artery stenosis, identify the target artery, and choose the best anastomotic site. Intraoperative graft assessment is a fundamental step of coronary artery bypass grafting. It is able to reduce graft failure related to technical error, improving both short- and long-term outcome of patients submitted to surgical myocardial revascularization. Herein procedures of graft assessment are described, reporting their strengths and limitations.


Intraoperative graft verification Transit-time flow measurement High-resolution epicardial ultrasonography 


Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Informed consent and ethical committee approval

Not applicable as the manuscript is a review paper.

Supplementary material (105 mb)
Video 1 Technique of intraoperative visualization of coronary arteries by high resolution imaging (MOV 107514 kb)


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Copyright information

© Indian Association of Cardiovascular-Thoracic Surgeons 2018

Authors and Affiliations

  1. 1.Department of Neuroscience, Imaging and Clinical SciencesUniversity “G. d’Annunzio”ChietiItaly
  2. 2.Clinica Cardiochirurgica Ospedale SS.AnnunziataChietiItaly

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