Graft occlusion after deployment of the Symmetry Bypass System.
Recently the Symmetry Bypass System (SJM, St. Paul, MN) became available. Now the system is frequently applied for vein-graft to aorta anastomoses in off-pump coronary artery bypass operations. This report describes a complication associated with the use of the Symmetry Bypass System (SJM) in a patient undergoing a standard off-pump coronary artery bypass procedure. A novel imaging system (SPY, Novadaq, Toronto, Canada) was applied for intraoperative assessment of graft function, and this system immediately diagnosed the occlusion of the proximal mechanical anastomosis caused by a mobile atheromatous aortic plaque.
Clinic for Cardiovascular Surgery, University Hospital, Zurich, Switzerland. oliver.reuthebuch@chi.usz.ch
Oliver T
OT
Reuthebuch
Alexander
A
Kadner
Mario L
ML
Lachat
Marko I
MI
Turina
D000368:Aged; D000714:Anastomosis, Surgical / Q000295:instrumentation; D001026:Coronary Artery Bypass / Q000295:instrumentation*; D004617:Embolism / Q000175:diagnosis; D006083:Graft Occlusion, Vascular / Q000175:diagnosis / Q000209:etiology*; D006801:Humans; D008297:Male; D014680:Veins