Heart Surgery from the Surgeon’s View “Coronary Artery Bypass in 4K“
Head #InsideTheOR with cardiothoracic surgeon Tolga Demir, MD, and witness an open heart surgery from the surgeon’s view in 4k resolution.
This 2-vessel coronary artery bypass graft operation was performed by Tolga DEMIR, MD in the Sisli Hamidiye Etfal Training and Research Hospital in Istanbul, Turkey (
From the surgeon’s view, you will have a first-person experience of a Heart Surgery procedure. It includes the steps from skin incision to skin closure. The purpose of this video is educational.
Warning: This video contains actual surgical footage, which may not be suitable for all viewers.
Timestamps:
0:00 - Intro
0:49 - Skin Incision
1:03 - Saphenous Vein Harvesting
1:12 - Sternotomy
1:22 - Bone Wax Application
1:30 - Placing the LIMA Retractor
1:52 - LIMA Harvesting
2:12 - Opening the Pleura
3:18 - Ligating and Dividing the LIMA
3:43 - Topical Papaverine Application
4:26 - Placing the Sternal Retractor
4:46 - Dissection of the Mediastinum
5:02 - Opening the Pericardium
5:24 - Pericardial Retraction Sutures
6:03 - Aortic Purse String Suture
6:30 - Venous Purse String Suture
6:50 - Cannulation of the Aorta
7:44 - Connecting the Arterial Line
7:57 - Cannulation of the Right Atrium
8:31 - Connecting the Venous Line
8:36 - Aortic Root Cannula Purse String Suture
8:51 - Placement of the Aortic Root Cannula
9:08 - Connecting the Vent Line
9:28 - Initiation of Cardiopulmonary Bypass
10:08 - Inspecting the Coronary Arteries
10:56 - Cross-Clamping of the Aorta
11:09 - Cardiac Arrest
11:29 - Inspecting The Target Coronary Arteries
11:53 - Preparing the Saphenous Vein
12:21 - Preparation for the First Bypass (CxOM)
12:48 - CxOM Anastomosis (First Bypass)
15:09 - LIMA Preparation for the Anastomosis
16:24 - Preparation for the Second Bypass (LAD)
17:24 - Deciding On-Lay Patch Anastomosis
17:34 - Preparing the Venous Patch
18:20 - Patch Reconstruction of the LAD
22:24 - LAD Anastomosis (Second Bypass)
24:21 - LIMA Fixing Stitches
24:58 - Removing the Aortic Cross-Clamp
25:14 - Starting of the Cardiac Activity
25:27 - Tactile Stimulus with Warm Saline
25:54 - Sizing The Graft Length
26:33 - Placement of the Side-Clamp
27:11 - Reforming the Proximal Anastomosis
29:04 - Removing the Side-Clamp
29:15 - Air Removal from the Graft
29:55 - Termination of Cardiopulmonary Bypass
30:06 - Removing the Venous Cannula
30:25 - Removing the Aortic Cannula
32:19 - Hemostasis (Bleeding Control)
33:00 - Mediastinal Tube Placement
34:22 - Closing the Chest
37:15 - Closing the Subcutaneous Tissue
38:06 - Closing the Skin Incision
39:32 - Outro
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