title: The "eaves" technique for distal anastomosis in aortic arch replacement.
abstract: 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.
authors.affiliation: Division of Cardiovascular Surgery, National Kure Medical Center, Hiroshima, Japan. yoshitatsu@kure-nh.go.jp
authors.forename: Masao
authors.initials: M
authors.lastname: Yoshitatsu
authors.forename: Fumikazu
authors.initials: F
authors.lastname: Nomura
authors.forename: Koichi
authors.initials: K
authors.lastname: Toda
authors.forename: Akira
authors.initials: A
authors.lastname: Katayama
authors.forename: Kentaro
authors.initials: K
authors.lastname: Tamura
authors.forename: Keijiro
authors.initials: K
authors.lastname: Katayama
authors.forename: Katsuhiko
authors.initials: K
authors.lastname: Ihara
mesh_terms: D000714:Anastomosis, Surgical / Q000379:methods*; D001013:Aorta, Thoracic / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D006801:Humans; D013537:Sutures