A modified technique of anastomosis between dissected aortic stump and a Dacron tube graft: the suture line inclusion technique.
We describe a modified technique of anastomosis between dissected aortic stump and a Dacron tube graft (Sulzer Vascutek, Renfrewshire, Scotland) with the aim of minimizing suture line complications. After a stented graft was implanted into the stump or a Teflon felt strip (C.R. Bard, Inc, Tempe, AZ) was circumferentially placed on the intima of the stump, a series of nonpledgeted 2-0 horizontal mattress sutures were placed from inside to outside. Certain tension on those sutures should be created to keep the intraluminal Teflon felt strip in place. The end of the Dacron tube graft was everted outward, and its double-folded end was anastomosed to the aortic stump with incorporation of the proximal end of the stented graft or the intraluminal Teflon felt strip. The everted Dacron portion was then returned to its original position, and the previously placed horizontal mattress sutures were appropriately passed through the corresponding site, and all sutures were securely tied in place. Our initial application showed that this simple technique provides a more hemostatic anastomosis.
Chen
Liang-Wan
LW
Department of Cardiac Surgery, Union Hospital, Fujian Medical University, Fuzhou, Fujian, China. chenliangwan@tom.com
Dai
Xiao-Fu
XF
Wu
Xi-Jie
XJ
D000208:Acute Disease; D000368:Aged; D000714:Anastomosis, Surgical / Q000379:methods; D000784:Aortic Dissection / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000601:surgery*; D016063:Blood Loss, Surgical / Q000517:prevention & control*; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D015331:Cohort Studies; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D011093:Polyethylene Terephthalates; D011474:Prosthesis Design; D012189:Retrospective Studies; D013536:Suture Techniques; D013718:Tensile Strength; D016896:Treatment Outcome
D011093:Polyethylene Terephthalates