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