The HEARTSTRING proximal seal system is a possible source of atheroembolism

Circulation Journal : Official Journal of the Japanese Circulation Society
Shinji KanemitsuToshihiko Kinoshita

Abstract

It is necessary to use side clamps to construct proximal anastomoses in off-pump coronary artery bypass, and this can be related to neurologic complications. Recently a new device, the HEARTSTRING device, was developed. We present a 78-year-old man who underwent emergent bypass surgery using the HEARTSTRING device to avoid a side clamp. We found atherosclerotic debris from the punched hole and, unfortunately, a postoperative neurological complication resulted. We strongly suggest that it is most important that potential candidates for the HEARTSTRING device be carefully selected to reduce possible neurologic complications. We report that while this new device is useful, there is a potential pitfall in using it; that it is a possible source of atheroembolism.

References

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Citations

Jan 1, 2010·Innovations : Technology and Techniques in Cardiothoracic and Vascular Surgery·Shady M EldaifJohn D Puskas
May 30, 2009·Circulation Journal : Official Journal of the Japanese Circulation Society·Xin ChenYingshuo Jiang
Nov 24, 2011·Interactive Cardiovascular and Thoracic Surgery·Hisham El ZayatMichael E Halkos
Aug 18, 2006·Scandinavian Cardiovascular Journal : SCJ·Fausto BiancariTatu Juvonen
Dec 15, 2011·The Heart Surgery Forum·Markus J WilhelmMichele Genoni
Aug 9, 2017·Current Opinion in Cardiology·Hidetake KawajiriMarc Ruel
Jul 20, 2021·The Annals of Thoracic Surgery·Roi GlamGil Bolotin

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