a serious concern and also demonstrated the importance of maintaining flow in the LIMA during grafting of the lateral and inferior wall of the myocardium. When a wide retraction of the sternum is necessary, the IMA flow may be compromised as shown in case 1 and as previously reported in a single patient operated with CPB [8]. It is important for the surgeon to be aware of this possible mechanis...

Atrial fibrillation (AF) is a very undesirable, but unfortunately a common arrhythmia following coronary artery bypass graft (CABG) surgery, occurring in up to 40% of patients1. There is an increase in hospital stay2 and adds to the overall cost of the surgery. Atrial fibrillation occurrence may identify a subset of patients with reduced survival3. Prevention of AF therefore would have a signif...

A coronary fistula is an extremely rare coronary artery anomaly and its incidence is 0.08-0.4% (1). A fistula between the Left internal mammary graft (LIMA) graft and pulmonary vein after a coronary artery bypass graft (CABG) is a very rare event, which can result in recurrence of anginal symptoms related to coronary steal (2). We present a 57 year old male patient who had coronary bypass surge...

et al. T graft with the right internal thoracic artery to left internal thoracic artery versus the left internal thoracic artery and radial artery: flow dynamics in the internal thoracic artery main stem. A new pattern for using both thoracic arteries to revascularize the entire heart: the pi-graft. Effects of heart rate on phasic Y-graft blood flow and flow reserve in patients with complete ar...

The incidence, indications, and outcomes of coronary angiography performed within 30 days following artery bypass graft surgery (CABG) have received limited study. We reviewed patients who underwent CABG between April 2018 September 2021 at a large quaternary healthcare system. Of 2,209 during the study, 111 (5%) CABG: mean age was 65 ± 10 years they had high prevalence comorbidities. Graft uti...

There are two basic ways of performing coronary artery bypass graft surgery (CABG): on pump CABG and off pump CABG. Off pump CABG is relatively a newer procedure to on-pump CABG and does not require the use of the cardiopulmonary bypass machine. On pump CABG is the more traditional method of performing bypass surgery. However its resultant inflammatory effects cause renal dysfunction, gastroint...

Elective Coronary Artery Bypass Graft (CABG) surgery using cardiopulmonary bypass techniques following preoperative transfusions to increase the hemoglobin A levels to above 60%, in a male patient with sickle cell disease [SCD] is described. Avoidance of hypoxia and acidosis lead to an uneventful perioperative period. Our institutional protocol for preoperative transfusions is highlighted.