Sewing Proximals on the Ascending Aorta during CABG Operations.

To have coronary bypass surgery deliver on the claim made by Dr. Lytle in his Gibbon Lecture at the 2020 meeting of the American College of Surgeons, surgeons doing these operations must pay attention to every detail of the procedures.  While a lot of attention is, appropriately, focused on sewing the distal anastomoses in coronary artery bypass operations [Tribble, 2018], there is often comparatively less attention placed on creating the proximal anastomoses for coronary artery bypass grafts. [Favaloro, 1970]. A lack of attention to these anastomoses can lead to significant problems for patients undergoing coronary artery bypass surgery. This article will address the common issues to be considered in creating proximal vein graft anastomoses in a standard coronary artery bypass operation. Let's get started …..