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Updated: Aug 16, 2026

Evaluation of a Novel Laser-assisted Coronary Anastomotic Connector - the Trinity Clip - in a Porcine Off-pump Bypass Model
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A novel figure A-shape sternal retractor for off-pump coronary artery bypass grafting
Tamotsu Yasuda1, Go Watanabe, Shigeyuki Tomita
1Department of General and Cardiothoracic Surgery, Kanazawa University School of Medicine, Kanazawa, Ishikawa, Japan. tamotsuyasuda@aol.com
Abstract:
A novel figure A-shape sternal retractor was developed to avoid brachial plexus injury caused by sternal wide separation, and facilitate exposure of circumflex artery by elevating a rake and dropping the heart into the right pleural cavity during off-pump coronary artery bypass grafting. In addition, it has several notches to hold deep pericardial stitches in order to enhance the exposure.
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