Sutureless technique to support anastomosis during thoracic aorta replacement.

Journal of Cardiothoracic Surgery
Efstratios E ApostolakisConstantinos Anagnostopoulos

Abstract

In aortic replacement procedures the aortic wall and Teflon strips form a double layer, with the use of continuous sutures. Surgical glues may or may not be used to enhance the durability of the anastomoses. In this technical report a modification of the aortic stumps preparation is devised.The technique reduces substantially the preparation time of the aortic stumps by the use of ligation clips and a surgical sealant. Suturing is the standard method for the aortic-teflon double-layer formation prior to Dacron anastomosis. In this study, instead of suturing, 5-6 ligation clips are primarily applied on the exterior of the double layer to facilitate proper cooptation. Secondarily, in order to fuse the two layers together, a sealant is injected in between the Teflon and aortic wall. Thus each stump is delivered quickly sutureless for the Dacron anastomosis.Between January 2003 and March 2009 this modified operative technique was performed in 14 cases (group A) with a mean age of 50 +/- 16 years. This was contrasted against 24 controls (group B), with a mean age of 40 +/- 28 years, treated with the conventional method, where only continuous sutures were used during the anastomosis. All patients were cases of ascending aorta replace...Continue Reading

References

Jun 4, 1999·The Annals of Thoracic Surgery·E NeriC Sassi
Sep 6, 2000·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·U NiederhäuserM Turina
Mar 3, 2004·Journal of Cardiac Surgery·Hung-Hsing Chao, David F Torchiana
Jul 26, 2006·The Annals of Thoracic Surgery·Motomi ShionoNanao Negishi
Aug 28, 2007·The Annals of Thoracic Surgery·Kenton J Zehr
Apr 17, 2008·Journal of Artificial Organs : the Official Journal of the Japanese Society for Artificial Organs·Motomi Shiono

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Citations

Aug 30, 2011·Nature Medicine·Edward I ChangGeoffrey C Gurtner
May 16, 2019·Nature Communications·Yi HongHongwei Ouyang

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