The Journal of Thoracic and Cardiovascular Surgery
Volume 137, Issue 6 , Pages 1570-1571 , June 2009

An improved hemostatic aortic anastomotic technique for nondissected aortic aneurysms

  • Robert Saeid Farivar, MD, PhD

      Affiliations

    • Department of Cardiothoracic Surgery, University of Iowa Hospitals and Clinics, Carver College of Medicine, University of Iowa Heart and Vascular Center, Iowa City, Iowa
    • Corresponding Author InformationAddress for reprints: Robert Saeid Farivar, MD, PhD, Department of Cardiothoracic Surgery, University of Iowa Hospitals and Clinics, Carver College of Medicine, University of Iowa Heart and Vascular Center, 200 Hawkins Dr, SE 517GH, Iowa City, IA 52242-1062.
    • ,
  • Lawrence H. Cohn, MD

      Affiliations

    • Division of Cardiac Surgery, Harvard Medical School, Brigham & Women's Hospital, Boston, Mass

Received 27 August 2008 ,Revised 22 December 2008 ,Accepted 13 January 2009.

  • Image Result

    A, A pledgeted double-arm suture is taken through the graft and native aorta and secured with 4 half-hitches. It is then run one quarter of the anastomosis. B, The suture is then locked with an additi

    A, A pledgeted double-arm suture is taken through the graft and native aorta and secured with 4 half-hitches. It is then run one quarter of the anastomosis. B, The suture is then locked with an additional suture that is placed immediately dorsal and outside-in on the graft and secured. C, The original suture is cut. D and E, The new suture is then run to the most ventral part of the anastomosis. F, The same is performed on the mirroring side of the anastomosis and secured.

PII: S0022-5223(09)00112-3

doi: 10.1016/j.jtcvs.2009.01.004

The Journal of Thoracic and Cardiovascular Surgery
Volume 137, Issue 6 , Pages 1570-1571 , June 2009

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