In-Situ BITA for the Whole Heart Using OPCAB Technique

Good clean technique - thanks for sharing Please elaborate on your technique for lifting the heart with the tape gauze you have shown What has been your experience with LITA RITA Y technique ?

Congratulation to all the surgeons who have adopted the presented method of off pump TAR so long had been proposed from the end of the last century (D. Taggart).However, looking at the recent years' statistics, regretfully this form of coronary revascularization has still remained low (5-6 %)-though one should consider it mandatory- based upon the research related to the nitric oxide production of the IMA,which certainly preserve the recipient artery endothelial function, etc. One technical note to the author, one should avoid to use metal clip on the IMA until the anastomosis will have been completed (damages the endothelium) -plastic clip with less gripping force is advisable with periodical release to flush blood for nutrition of the artery IMA).

Great work! Excellent technique.

Thanks and congratulations. Our RIMA grafts are never long enough to reach the apex as you showed. Do you have a trick to harvest it that long? Thanks.

Really creative! Thank you for giving me another way to think about grafting! I like the RIMA through transverse sinus to make re-do's less stressful, and then having full length of LIMA for the lateral wall. Do you worry about the angle of LIMA to that PDA? Part of me is worried about kinking. Thank you!