Author: Zivojin Jonjev

Bilateral sceletonized internal mammary arteries for myocardial revascularization in elderly patients

Zivojin Jonjev

J Geriatr Cardiol. 2025 Apr 28;22(4):415-422.

Živojin S Jonjev et al. DOI: 10.26599/1671-5411.2025.04.004

Novo objavljeno u Journal of Geriatric Cardiology
Sa zadovoljstvom predstavljam naš najnoviji rad pod naslovom:
„Bilateralne skeletonizovane unutrašnje mamarke arterije za miokardnu revaskularizaciju kod starijih pacijenata“, objavljen u aprilskom broju Journal of Geriatric Cardiology (2025).

Ova studija se bavi sve češćom dilemom u kardiohirurgiji — da li su stariji pacijenti dobri kandidati za kompletnu arterijsku revaskularizaciju. Naši rezultati pokazuju da je primena bilateralnih skeletonizovanih unutrašnjih grudnih arterija (BIMA) ne samo izvodljiva već i klinički opravdana kod pažljivo odabranih starijih bolesnika.

Ključna poruka rada: hronološka starost ne treba da bude kontraindikacija za BIMA bypass, ako se postupak izvodi uz poštovanje savremene operativne tehnike. DOI: 10.1510/mmcts.2023.015

Veliko mi je zadovoljstvo što smo ovim radom dali doprinos savremenoj kardiohirurgiji koja se zasniva na nauci, iskustvu i odgovornosti prema pacijentima.

STS 2025 Coronary Conference, June 12-14, 2025. Chicago, Illinois, USA

Zivojin Jonjev
An exceptional gathering of surgical expertise and innovation. The STS Coronary Conference 2025 brought together leading cardiac surgeons and researchers from around the world to share cutting-edge strategies in coronary revascularization. Over three dynamic days in Chicago, the spirit of science, collaboration, and surgical excellence was on full display. I was honored to present our experience with sequential grafting of the skeletonized Left Internal Mammary Artery (LIMA) to the left coronary system during the Rapid-Fire oral session. A remarkable opportunity to contribute and exchange ideas with some of the most respected names in the field.

An exceptional gathering of surgical expertise and innovation. The STS Coronary Conference 2025 brought together leading cardiac surgeons and researchers from around the world to share cutting-edge strategies in coronary revascularization. Over three dynamic days in Chicago, the spirit of science, collaboration, and surgical excellence was on full display.

I was honored to present our experience with “Sequential grafting of the skeletonized Left Internal Mammary Artery (LIMA) to the left coronary system” during the Rapid-Fire oral session. A remarkable opportunity to contribute and exchange ideas with some of the most respected names in the field.

The 73rd Annual International Congress of the European Society of Cardio-Vascular and Endovascular Surgery, May 15 to 17, 2025, Athens, Greece

Zivojin Jonjev
Three Inspiring Days at ESCVS 2025 – Athens, Greece
It was a privilege to attend the ESCVS 2025 Meeting held at the Royal Olympic Hotel in Athens—a truly outstanding three-day event. With a distinguished lineup of speakers from around the world, the conference highlighted the latest advancements in the diagnosis and treatment of cardiovascular disease. A celebration of science, respect, and achievement at the highest level of academic exchange.

Clipless skeletonized internal mammary artery harvesting with harmonic technology

Zivojin Jonjev

Zivojin S Jonjev 1, Aleksandar M Milosavljevic 2, Novica Kalinic 3, Adam Adam 4

Affiliations

  • 1Institute for Cardiovascular Diseases of Vojvodina, Clinic of Cardiovascular Surgery, Sremska Kamenica, Serbia University of Banja Luka, Faculty of Medicine, Banja Luka, Republic of Srpska, Bosnia & Herzegovina.
  • 2Institute for Cardiovascular Diseases of Vojvodina, Clinic of Cardiovascular Surgery, Sremska Kamenica, Serbia.
  • 3University of Banja Luka, Faculty of Medicine, Banja Luka, Republic of Srpska, Bosnia & Herzegovina.
  • 4Icahn School of Medicine at Mount Sinai JJP VAMC, New York, NY, USA.

Free article

Abstract

Since the introduction of the mammary artery harvesting procedure, electrocautery has been used as a standard method of care. However, mammary artery spasm, subadventitial haematoma and mammary artery damage due to clips dispositioning or high thermal energy injury have been recorded. To achieve a perfect mammary artery graft, we propose the usage of a high-frequency ultrasound device, usually recognized as a harmonic scalpel. It reduces thermal-related injuries, the use of clips and the risk of mammary artery spasm and/or dissection.

Keywords: CABG; Conduit harvesting; Harvesting technique; IMA harvesting; Internal mammary artery.

© The Author 2023. Published by MMCTS on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved.

https://mmcts.org/tutorial/1810

Bentall-De Bono aortic root reconstruction

Zivojin Jonjev

A 61y/o Caucasian male was diagnosed with aortic root dilation (ST junction=5.5cm; Sinus Valsalve=5.9cm, AoAsc=5.6cm) with significant aortic valve regurgitation (3/4 degree). Aortic root was reconstructed with implantation of the composite graft (tubus+valve 25/28), and reimplantation of the coronary ostia into the composite graft. The patient was well and discharged 7 days after surgery.