CABG Guidebook 1
19. Case examples The REQUEST study provided several interesting case examples that illustrate the usefulness of TTFM and HFLJS. In this chapter, some of these case examples will be presented. Additional case examples can be found on Medistim's online learning platform, EduQ. HFUS OF AORTA PRIOR TO MANIPULATION For safer clamping or and/or cannulation of tho aorta, the investigators were recommended to scan the aorta betore manipulation. Somo of those scans showed soft, non-palpablo plaque that can potentially embolize and create obstructions. Plaque in aorta led to change of surgical strategy In this case. the surgeon changed the surgical strategy after scanning of the aorta. The aorta was calcified. so the initially planned on-pump LITA-LAD. SVG-OM and SVG-RCA strategy was changed to an off-pump LITA-Y-RITA-OM and RITA-SVG-RCA to avoid clamping and cannulation. A potential problem caused by manipulation of a severely calcified aorta was avoided.