Anaortic, total-arterial, off-pump coronary artery bypass surgery: how to do it

Heart Lung Circ. 2010 Sep;19(9):555-60. doi: 10.1016/j.hlc.2010.04.078. Epub 2010 May 6.


Several large series have demonstrated that performing off-pump coronary artery bypass surgery without manipulating the ascending aorta (anaortic) utilising all-arterial grafts provides superior protection against neurological injury. Recent series comparing percutaneous coronary intervention (PCI) with surgical revascularisation have demonstrated superior results for surgery over PCI. However, a significant criticism of coronary artery surgery remains the higher incidence of neurological injury when compared to PCI. We present a simple and reproducible technique for anaortic, total-arterial off-pump coronary artery revascularisation.

MeSH terms

  • Anastomosis, Surgical / methods
  • Anesthesia / methods
  • Coronary Artery Bypass, Off-Pump / methods*
  • Humans
  • Mammary Arteries / transplantation*
  • Perioperative Period
  • Postoperative Complications / prevention & control*
  • Radial Artery / transplantation*
  • Stroke / prevention & control*