Modified Technique for Reconstructing the Visceral Arteries in Thoracoabdominal Aortic Repair | Zendy

Kondoh Haruhiko | Zendy; Funatsu Toshihiro | Zendy; Taniguchi Kazuhiro | Zendy

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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.

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