HOW I DO IT : Off-Pump Myocardial Revascularization. The Single-Suture Technique: How to Avoid Any Complication

To achieve a good exposure of coronary arteries, the singlesuture technique allows a good exposure of the circumflex territory. This suture may injure the organs situated behind the pericardium. We suggest placing a single suture of silk in the oblique sinus to allow a good elevation of the posterior pericardium before placing the single suture. This simple and inexpensive method avoids any damage to the structures behind the pericardium.