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Proximal anastomosis
SOP » Surgery protocol » Proximal anastomosis
Last modified on Tue 15 Jul 2014

In an effort to reduce the perioperative stroke rate, this technique eliminates the use of proximal anastomoses to the aorta. The free right internal mammary (RIMA) or the saphenous vein graft (SVG), is connected to the proximal LIMA. During anastomosis, a shunt is always placed especially if there is ongoing ischemia or tight left main disease. Air is removed from the vessels by retrograde filling.
Flow measurement is performed at normal heart rate and at 100 bpm to evaluate flow and flow reserves.