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Modified Technique for Reconstructing the Visceral Arteries in Thoracoabdominal Aortic Repair
Author(s) -
Kondoh Haruhiko,
Funatsu Toshihiro,
Taniguchi Kazuhiro
Publication year - 2013
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/jocs.12042
Subject(s) - medicine , fibrous joint , anastomosis , hemostasis , anatomy , surgery , artery , aortic repair , suture line , aorta
We present a modified technique for reconstructing the visceral arteries in thoracoabdominal aortic repair. After the proximal and distal anastomosis of a main tubular graft with four pre‐sewn side branches, each visceral artery is cannulated and perfused with 25 °C blood (sum total, 800 mL/min). Then, each side branch is placed around the main graft, forming a gently curved loop around it. Finally, the orifice of each visceral artery is sutured to a side branch. This technique prevents kinking of the side branches and enables hemostasis to be secured with a clear view of all the suture lines.