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Cabrol Technique Application in Off-pump Coronary Artery Bypass Grafting Using Radial Artery

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인공심폐기를 이용하지 않는 관상동맥우회술 시 요골동맥을 이용한 Cabrol 술식의 응용

Cabrol Technique Application in Off-pump Coronary Artery Bypass Grafting Using Radial Artery

In off-pump coronary artery bypass grafting (CABG), multiple proximal anastomosis may increase the risk of cerebral embolism (air, debris) and aortic injury (dissection, pseudoaneurysm). Radial artery (RA) has no intraluminal valve such as saphenous vein. We applied Cabrol technique using aortic root replacement for proximal anastomosis in off-pump CABG. Cabrol technique using RA graft can reduce numbers of proximal anastomosis and reduce number of aortic manipulation in off-pump CABG. We report a Cabrol technique for proximal anastomosis in off-pump CABG with RA graft.

(Korean J Thorac Cardiovasc Surg 2003;36:630-632) Key words : 1. Coronary artery bypass

2. Minimally invasive surgery 3. Radial artery

4. Cabrol operation

(2)

Fig. 1. Schematic view of operative technique. LITA=Left internal thoracic artery; RA=Radial artery; SV=Saphenous vein;

AD=Left anterior descending artery; OM=Obtuse marginal artery; RCA=Right coronary artery.

Fig. 2. Postoperative coronary angiogram. RA=Radial artery;

SV= Saphenous vein; LAD=Left anterior descending artery;

OM=Obtuse marginal artery; RCA=Right coronary artery.

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Fig. 1. Schematic view of operative technique. LITA=Left internal thoracic artery; RA=Radial artery; SV=Saphenous vein;

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