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