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THE JOURNAL OF CARDIOVASCULAR SURGERY

Rivista di Chirurgia Cardiaca, Vascolare e Toracica


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

lingua: Inglese

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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