Abstract
Three aspects should be considered when discussing a difficult coronary for CABG. First is when the vessel is invisible. Coronary arteries sometimes run an intramyocardial course or are covered with extensive epicardial adipose tissue, making its identification and subsequent revascularization difficult and leading to complications such as bleeding from surrounding tissues, penetration into the right ventricle, formation of hematoma, and failure to find the artery in the end. Second is when vessel itself is point at issue. This includes diffusely sclerotic, calcified, or small vessels. Third is when multiple stents are placed in the vessel. The purpose of this chapter is to share the tips and pitfalls in dealing with these challenging situations on the beating heart.
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Kinoshita, T., Asai, T. (2016). Difficult Coronary OPCAB Made in Japan. In: Asai, T., Ochi, M., Yokoyama, H. (eds) Off-Pump Coronary Artery Bypass. Springer, Tokyo. https://doi.org/10.1007/978-4-431-54986-4_24
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DOI: https://doi.org/10.1007/978-4-431-54986-4_24
Publisher Name: Springer, Tokyo
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