title: Modified technique for reconstructing the visceral arteries in thoracoabdominal aortic repair.
abstract: We present a modified technique for reconstructing the visceral arteries in thoracoabdominal aortic repair. After the proximal and distal anastomosis of a main tubular graft with four pre-sewn side branches, each visceral artery is cannulated and perfused with 25 °C blood (sum total, 800 mL/min). Then, each side branch is placed around the main graft, forming a gently curved loop around it. Finally, the orifice of each visceral artery is sutured to a side branch. This technique prevents kinking of the side branches and enables hemostasis to be secured with a clear view of all the suture lines.
authors.affiliation: Department of Cardiovascular Surgery, Japan Labor Health and Welfare Organization, Osaka Rosai Hospital, Osaka, Japan.
authors.forename: Haruhiko
authors.initials: H
authors.lastname: Kondoh
authors.forename: Toshihiro
authors.initials: T
authors.lastname: Funatsu
authors.forename: Kazuhiro
authors.initials: K
authors.lastname: Taniguchi
mesh_terms: D000714:Anastomosis, Surgical; D001012:Aorta, Abdominal / Q000601:surgery*; D001013:Aorta, Thoracic / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation; D006801:Humans; D019651:Plastic Surgery Procedures / Q000379:methods*; D013536:Suture Techniques; D014656:Vascular Surgical Procedures / Q000379:methods*; D014781:Viscera / Q000098:blood supply*