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THE JOURNAL OF CARDIOVASCULAR SURGERY

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The Journal of Cardiovascular Surgery 1998 June;39(3):311-2

Copyright © 2000 EDIZIONI MINERVA MEDICA

language: English

Direct anastomosis of the saphenous vein to the unclamped aorta

Fokin A., Robicsek F.

From the Department of Thoracic and Cardiovascular Surgery, Carolinas Medical Center and The Heineman Medical Research Laboratory Charlotte, North Carolina, USA


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The ­authors ­present an alter­na­tive tech­nique for anas­tom­osis of the prox­imal saph­e­nous ­vein to the ­ascending ­aorta ­which ­allows ­safe and effec­tive per­for­mance of the ­aorto-to-saph­e­nous con­nec­tion ­using nei­ther ­aortic ­clamping nor cir­cu­la­tory ­arrest. ­This tech­nique can be ­used in sit­u­a­tions ­such as cal­cifi­ca­tion of the ­aortic ­wall or pres­ence of ­unstable ath­e­rom­a­tous ­plaques ­which ­make the appli­ca­tion of the ­more com­monly ­applied ­method ­very ­risky or ­even impos­sible.

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