title: Aorto-coronary vein graft 'Y' anastomosis made easy.
abstract: Vein graft-to-vein graft anastomosis, creating a 'Y' graft, is a useful technique when there is a lack of good-quality autologous vein to perform individual aorto-coronary bypass grafts or when the ascending aorta is short or atheromatous, limiting the space for proximal graft anastomosis. Unlike artery-to-artery composite grafts, which are resistant to flow-limiting technique-based distortions, the accurate construction of vein-to-vein anastomoses is critical. A technique is described that facilitates accurate placement of the anastomosis that prevents kinking, twisting or displacement.
authors.affiliation: Department of Cardiothoracic Surgery, Castle Hill Hospital, Castle Road, Cottingham, East Yorkshire, HU16 5JQ, UK. martin.jarvis@hey.nhs.uk
authors.forename: Martin Amadee
authors.initials: MA
authors.lastname: Jarvis
mesh_terms: D000714:Anastomosis, Surgical / Q000379:methods; D001011:Aorta / Q000601:surgery; D001026:Coronary Artery Bypass / Q000379:methods*; D006801:Humans; D012501:Saphenous Vein / Q000601:surgery / Q000637:transplantation*