Skip to Main Content

++
++
++
++
++
++

The other suture end is then run up the opposite side to the arteriotomy midpoint (Figure 21). The toe of the graft is sutured down to the tip of the arteriotomy with a horizontal mattress suture (Figure 22). The anastomosis is completed by carefully running one suture all the way around to meet the other end at its midpoint position (Figures 23 and 24).

++

The anastomosis is completed on the near side. Immediately prior to completion, a coronary dilator of suitable size may be passed downward through the anastomosis to confirm patency. When the anastomosis is completed, the graft is flushed with cold autologous blood to confirm patency and to identify any suture line leaks, which can be repaired at this time (Figure 25).

++

Want remote access to your institution's subscription?

Sign in to your MyAccess profile while you are actively authenticated on this site via your institution (you will be able to verify this by looking at the top right corner of the screen - if you see your institution's name, you are authenticated). Once logged in to your MyAccess profile, you will be able to access your institution's subscription for 90 days from any location. You must be logged in while authenticated at least once every 90 days to maintain this remote access.

Ok

About MyAccess

If your institution subscribes to this resource, and you don't have a MyAccess profile, please contact your library's reference desk for information on how to gain access to this resource from off-campus.

Subscription Options

AccessSurgery Full Site: One-Year Subscription

Connect to the full suite of AccessSurgery content and resources including more than 160 instructional videos, 16,000+ high-quality images, interactive board review, 20+ textbooks, and more.

$995 USD
Buy Now

Pay Per View: Timed Access to all of AccessSurgery

24 Hour Subscription $34.95

Buy Now

48 Hour Subscription $54.95

Buy Now

Pop-up div Successfully Displayed

This div only appears when the trigger link is hovered over. Otherwise it is hidden from view.