title: Tube-graft inversion for the construction of an "open" distal anastomosis during ascending aortic replacement: a new technique.
abstract: For the construction of a distal "open" anastomosis during ascending aortic replacement, a tube-graft is placed opposite to the transected aorta. We describe an alternative technique. The tube-graft is inverted and positioned within the aortic arch in a way that brings the entire circumference of the distal end of the tube-graft next to the circumference of the transected aorta. An end-to-end anastomosis is then fashioned with a running suture, the needle of which goes through the aorta and the tube-graft in a single pass. This technique permits easy, accurate, and fast suture placement, producing a hemostatic distal anastomosis within a short circulatory arrest time.
authors.affiliation: Department of Cardiac Surgery, Glenfield Hospital, University Hospitals of Leicester, Leicester, United Kingdom.
authors.forename: Christos
authors.initials: C
authors.lastname: Alexiou
authors.forename: Andrzej W
authors.initials: AW
authors.lastname: Sosnowski
mesh_terms: D000714:Anastomosis, Surgical / Q000379:methods*; D000784:Aortic Dissection / Q000601:surgery*; D001011:Aorta / Q000601:surgery*; D001014:Aortic Aneurysm / Q000601:surgery*; D006324:Heart Arrest, Induced; D006801:Humans