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Figure 1 | Journal of Cardiothoracic Surgery

Figure 1

From: Revival of the side-to-side approach for distal coronary anastomosis

Figure 1

Initial Anastomosis from the Surgeon's Viewpoint. The original coronary artery is shown at the top and the graft artery is shown at the bottom. In this technique, the graft artery is placed near the surgeon. This suturing technique begins at the point two-fifths halfway towards the arteriotomy near heel position. The suture is made from outside of the graft to inside of the graft. Consequently the next suture is made at the corresponding point of coronary artery from inside of coronary artery to outside of coronary artery. The same forehand continues to place stitches in a clockwise rotation. Black and white segments are hypothetical segments and they correspond to the one-tenth division of anastomosing orifice. Consecutively single-parachute stitches are done up to the fifth point.

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