The "eaves" technique for distal anastomosis in aortic arch replacement.
We describe the "eaves" technique, a new method for distal anastomosis in aortic arch replacement. The 1-cm wide eaves were created at the site 3 to 4 cm distal to the graft end. The graft was bound with vessel tape from the eaves to the site proximal to the origin of the first branch to make a working space above the eaves and to facilitate graft handling. Then the native descending aorta was sutured to the eaves easily. The eaves enabled a greater surface contact area between the graft and the inner wall of the aorta and reduced bleeding at the anastomosis.
Yoshitatsu
Masao
M
Division of Cardiovascular Surgery, National Kure Medical Center, Hiroshima, Japan. yoshitatsu@kure-nh.go.jp
Nomura
Fumikazu
F
Toda
Koichi
K
Katayama
Akira
A
Tamura
Kentaro
K
Katayama
Keijiro
K
Ihara
Katsuhiko
K
D000714:Anastomosis, Surgical / Q000379:methods*; D001013:Aorta, Thoracic / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D006801:Humans; D013537:Sutures