coronary artery surgery anastomosis suture  
arteriotomy arteriotomy and insert silastic loops

coronary artery suture anastomosis

- end-to-side anastomosis

- sequential anastomosis


flush distal anastomosis with blood cardioplegia

  check anastomostic bleeding and repair

IMA to LAD anastomosis suture


proximal free graft to aorta anastomosis


before off bypass ให้ไล่ air อย่างไร


วิธีการ off bypass

- off aortic cross clamp

- remove pulmonary arterial vent

- off bypass

- protamine reversal