The right gastroepiploic artery graft

Area of Science:

• Cardiovascular Surgery
• Surgical Techniques

Background:

• Coronary artery bypass grafting (CABG) is a critical procedure for treating coronary artery disease.
• The gastroepiploic artery (GEA) is an alternative conduit for CABG, offering potential benefits.
• Standardized techniques for GEA harvesting and anastomosis are essential for successful CABG outcomes.

Purpose of the Study:

• To present a detailed technique for skeletonized gastroepiploic artery (GEA) harvesting.
• To describe the anastomosis procedure for GEA in coronary artery bypass grafting (CABG).
• To provide an overview of the literature concerning CABG using GEA.

Main Methods:

• Median sternotomy followed by harvesting the internal thoracic artery.
• Laparotomy to dissect the GEA from the stomach, extending it to the pericardial cavity via a diaphragmatic tunnel.
• Anastomosis of the GEA to the distal right coronary artery, detailing suture technique and hemostasis checks.

Main Results:

• The study presents a specific technique for skeletonized GEA harvesting.
• The described anastomosis method aims for secure and effective GEA to coronary artery connection.
• An overview of existing literature on GEA use in CABG is provided.

Conclusions:

• The presented skeletonized GEA harvesting and anastomosis technique offers a viable option for CABG.
• This approach may enhance surgical options for patients requiring coronary revascularization.
• Further evaluation of this technique in clinical practice is warranted.