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Rev Bras Cir Cardiovasc · Oct 2009
Case ReportsOff-pump correction of coronary fistula: the single suture technique approach.
- Marco Antonio Vieira Guedes, Arlindo de Almeida Riso, Miguel Barbero Marcial, and Noedir Antonio Groppo Stolf.
- Cardiopatias Cirúrgicas Valvares, Av. Dr. Enéas de Carvalho Aguiar, 44, São Paulo, SP, Brasil. guedesmarco@gmail.com
- Rev Bras Cir Cardiovasc. 2009 Oct 1;24(4):581-3.
AbstractThe single suture technique was developed to obtain stabilization and exposure of all all coronary branches during off-pump coronary artery bypass, while maintaining hemodynamic stabilily during the procedure. We describe the use of this technique during an off-pump correction of a coronary artery fistula associated with right coronary dilatation. The suggested technique is quicker and less complex than on-pump surgery. Furthermore, it can be a useful tool for congenital fistula correction in select cases, stimulating the practice of less invasive heart surgery in these patients.
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