Although most cardiac surgeons perform coronary surgery on microscopic structures, not often any sort of direct quality control method to test patency of the constructed anastomoses is applied. In most cases, simple evaluation of the immediate perioperative hemodynamic performance is considered as an acceptable marker of operative success. In this regard, it is very provocative that in surgical myocardial revascularization, electrocardiographic and hemodynamic parameters may remain postoperatively unchanged, even with a malfunctioning coronary graft.

Netherlands Heart Foundation
A.P. Kappetein (Arie Pieter) , A.J.J.C. Bogers (Ad)
Erasmus University Rotterdam
Cardiovascular Research School Erasmus University Rotterdam (COEUR)

d' Ancona, G. (2009, October 28). Intraoperative Flow Measurement in Coronary Artery Surgery: Present Applications and Future Perspectives. Retrieved from