Skip to main content
SpringerLink
Log in

Foldback technique for aortic anastomosis of free right internal thoracic artery in coronary artery bypass grafting

  • How to Do It
  • Published:
General Thoracic and Cardiovascular Surgery Aims and scope Submit manuscript

Abstract

We herein report a new technique that we term “foldback plasty” for stenosis-free proximal anastomosis of free arterial grafts without using any other interposition materials. The arterial graft is first anastomosed to the aorta in side-to-side fashion, leaving 1 cm of remnant tissue at the proximal end. The reverse side of the graft is then opened longitudinally, starting at the proximal end, to just distal to the aortic anastomosis site. The new proximal graft flap is folded back and sutured onto the graft to close the longitudinal opening. The proximal anastomosis site is enlarged only by the graft tissue, and stenosis can be avoided even if the graft has a small caliber.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Burfeind WR Jr, Glower DD, Wechsler AS, Tuttle RH, Shaw LK, Harrell FE Jr, et al. Single versus multiple internal mammary artery grafting for coronary artery bypass: 15 year followup of a clinical practice trial. Circulation 2004;110(suppl):27–35.

    Article  Google Scholar 

  2. Schimert G, Vidne BA, Lee AB Jr. Free internal mammary artery graft: an improved surgical technique. Ann Thorac Surg 1975;19:474–477.

    Article  CAS  PubMed  Google Scholar 

  3. Levinsky L, Lajos TZ, Lee AB Jr, Espersen C, Schimert G. The revival of the horseshoe graft (side-to-side saphenous vein to aorta anastomosis). Thorac Cardiovasc Surg 1979;27:322–324.

    Article  CAS  PubMed  Google Scholar 

  4. Nakamura Y, Kobayashi J, Tagusari O, Bando K, Niwaya K, Nakajima H, et al. Early results of complete off-pump coronary revascularization using left internal thoracic artery with composite radial artery. Jpn J Thorac Cardiovasc Surg 2003;51:10–15.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Cardiovascular Surgery, Japanese Red Cross Nagoya Daiichi Hospital, 3-35 Michishita-cho, Nakamura, Nagoya, 453-8511, Japan

    Toshiaki Ito, Tomonobu Abe, Koji Yamana, Tomo Yoshizumi, Tamami Kawamura & Masatoshi Sunada

Authors
  1. Toshiaki Ito
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Tomonobu Abe
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Koji Yamana
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Tomo Yoshizumi
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Tamami Kawamura
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Masatoshi Sunada
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Toshiaki Ito.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Ito, T., Abe, T., Yamana, K. et al. Foldback technique for aortic anastomosis of free right internal thoracic artery in coronary artery bypass grafting. Gen Thorac Cardiovasc Surg 57, 678–680 (2009). https://doi.org/10.1007/s11748-009-0465-6

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11748-009-0465-6

Key words

Search

Navigation