Graft–Coronary Anastomosis in Off-Pump CABG

  • Masami OchiEmail author


Coronary artery bypass grafting (CABG) is a surgical procedure whereby an anastomosis is formed between a graft and the coronary artery. The graft patency rate is one of the most important factors affecting long-term postoperative prognosis.

Among the many factors affecting graft patency, the most important is reliable skill in performing an anastomosis. The basic points requiring caution in performing a graft–coronary artery anastomosis are the same whether it is performed on-pump or off-pump. Surgeons must be aware, however, that there are a number of intrinsic differences when forming the anastomosis. These differences are the reason for the high degree of difficulty of off-pump anastomosis. However, by performing a large number of on-pump anastomoses, as well as accumulating experience in off-pump anastomoses, surgeons may acquire the ability to perform anastomoses of any region of the coronary artery off-pump as accurately as they would on-pump.


Graft–coronary anastomosis Needle handling End-to-side anastomosis Side-to-side anastomosis 

Copyright information

© Springer Japan 2016

Authors and Affiliations

  1. 1.Department of Cardiovascular SurgeryNippon Medical SchoolTokyoJapan

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