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. 2007 Jan;83(1):326-8.
doi: 10.1016/j.athoracsur.2006.03.069.

Tube-graft inversion for the construction of an "open" distal anastomosis during ascending aortic replacement: a new technique

Christos Alexiou  1 , Andrzej W Sosnowski
Affiliations

Tube-graft inversion for the construction of an "open" distal anastomosis during ascending aortic replacement: a new technique

Christos Alexiou et al. Ann Thorac Surg. 2007 Jan.

Abstract

For the construction of a distal "open" anastomosis during ascending aortic replacement, a tube-graft is placed opposite to the transected aorta. We describe an alternative technique. The tube-graft is inverted and positioned within the aortic arch in a way that brings the entire circumference of the distal end of the tube-graft next to the circumference of the transected aorta. An end-to-end anastomosis is then fashioned with a running suture, the needle of which goes through the aorta and the tube-graft in a single pass. This technique permits easy, accurate, and fast suture placement, producing a hemostatic distal anastomosis within a short circulatory arrest time.

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