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An interrupted technique for difficult distal anastomosis during arch surgery.

Authors
Type
Published Article
Journal
Asian Cardiovascular and Thoracic Annals
1816-5370
Publisher
SAGE Publications
Publication Date
Volume
19
Issue
6
Pages
411–413
Identifiers
DOI: 10.1177/0218492311419459
PMID: 22160411
Source
Medline
License
Unknown

Abstract

During aortic arch replacement, construction of the distal anastomosis represents the crucial step because of the time limit of circulatory arrest. If the aneurysmal neck is located at the level of the 5(th) thoracic vertebra, it becomes difficult to carry out through a sternotomy approach. We describe a case in which an interrupted suture technique, similar to that used for valve replacement, was employed to maximize the limited exposure and achieve a water-tight anastomosis.

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