In this episode of The Atrium, host Dr. Alice Copperwheat speaks with Dr. John Puskas, professor of surgery at Emory University, Chief of Cardiothoracic Surgery at Emory University Hospital Midtown, and Wilton Looney Director at the Emory Carlyle Fraser Heart Center in Atlanta, Georgia, USA, about proximal coronary anastomosis.
Chapters
00:00 Intro
00:44 About Dr. Puskas
03:35 Background & History
06:56 10 Commandments for PA
10:34 When to Do It?
13:57 Aorta Site Selection
19:32 Step-by-Step
29:21 Sewing Onto Aorta
33:15 Variations & Alternatives
44:50 Key Messages
46:08 Advice to Trainees
They discuss the 10 principles for proximal anastomosis during coronary artery bypass grafting, saphenous vein grafts vs free arterial grafts, as well as the optimal site selection on the aorta. They also explored key aspects of preparation and arteriotomy, and highlighted various variations and alternatives, such as clampless techniques and sequential grafting. Additionally, they examined the pitfalls and complications associated with proximal coronary anastomosis and the future of proximal coronary anastomosis.
The Atrium is a monthly podcast presenting clinical and career-focused topics for residents and early career professionals across all cardiothoracic surgery subspecialties. Watch for next month’s episode on aortic dissection with Dr. Marc Moon.
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