A method of decreasing anastomotic leaks and delivering cardioplegia in aortic root replacement.
Ascending aortic root replacement is associated with a significant incidence of bleeding from composite graft to annulus anastomosis and from coronary to composite anastomosis. We describe a technique for composite graft to annulus and coronary to composite graft anastomoses with circular Teflon donuts. We also describe a method for delivery of antegrade cardioplegia that allows assessment of anastomoses prior to weaning from bypass.
Joob
A W
AW
Department of Surgery, Northwestern University Medical School, Chicago, Illinois 60611-3008.
Massad
M
M
Rao
R
R
Sanders
J H
JH
Locicero
J
J
Hartz
R S
RS
D000714:Anastomosis, Surgical / Q000009:adverse effects / Q000379:methods*; D001011:Aorta / Q000601:surgery*; D003331:Coronary Vessels / Q000601:surgery*; D006324:Heart Arrest, Induced / Q000379:methods*; D006470:Hemorrhage / Q000517:prevention & control; D006801:Humans; D011138:Polytetrafluoroethylene; D019736:Prostheses and Implants; D013536:Suture Techniques
D011138:Polytetrafluoroethylene