Use of intraoperative coronary angiography to guide surgical intervention in coronary artery bypass graft surgery

Abstract

Following coronary artery bypass graft surgery, graft patency is a major factor contributing to patient morbidity and mortality. There are several modalities available for assessing graft patency intra-op used by both the anesthesiologist and surgeon. However, these modalities have their own advantages and disadvantages which will be summarized in this case report. As illustrated by this case, angiography continues to be the gold standard for coronary anatomy assessment and can be performed easily using a portable digital fluoroscopic system.

Keywords

• cardiothoracic anesthesia
• coronary artery bypass surgery
• coronary artery disease