[Specific features of the technique of performing coronary bypass operations on the beating heart]

Area of Science:

• Cardiovascular Surgery
• Anesthesiology

Background:

• Coronary artery bypass grafting (CABG) traditionally requires cardiopulmonary bypass.
• Minimally invasive techniques aim to reduce surgical trauma and improve patient recovery.

Purpose of the Study:

• To present a refined technique for performing coronary artery bypass grafting on a beating heart.
• To describe the key components of this technique, including anesthesia, anastomosis formation, and stabilization methods.

Main Methods:

• High thoracic epidural anesthesia for pain management and hemodynamic stability.
• Primary formation of proximal anastomoses followed by distal anastomoses.
• Local stabilization of the heart using vacuum stabilizers for improved surgical access.
• Utilization of blower-humidifier and intracoronary shunts during the procedure.

Main Results:

• The technique was successfully applied in 847 patients.
• Detailed description of the surgical steps, including access to lateral and posterior heart surfaces.
• Emphasis on the specified succession of anastomosis formation and stabilization.

Conclusions:

• The described beating heart coronary bypass technique offers a viable alternative to traditional methods.
• The combination of advanced anesthesia and specialized stabilization tools facilitates complex bypass surgeries.