title: Single Heartstring aortotomy for multiple off-pump venous bypass grafts.
abstract: Off-pump coronary bypass grafting may decrease the rate of stroke, due to minimal aortic manipulation. For venous grafts, clampless hemostasis when performing the proximal anastomosis can be achieved using the Heartstring device. We describe a technique using a single device to suture two veins to one aortotomy. This technique requires less space and could be advantageous in very short, small, and calcified aortas. In to our experience, this technique is rapid, simple, easy to reproduce, and cost-saving.
authors.affiliation: Department of Cardiovascular Surgery, University Hospital of Lausanne, Lausanne, Switzerland lars.niclauss@chuv.ch.
authors.forename: Lars
authors.initials: L
authors.lastname: Niclauss
authors.affiliation: Department of Cardiovascular Surgery, University Hospital of Lausanne, Lausanne, Switzerland.
authors.forename: Sébastien
authors.initials: S
authors.lastname: Colombier
authors.affiliation: Department of Cardiovascular Surgery, University Hospital of Lausanne, Lausanne, Switzerland.
authors.forename: René
authors.initials: R
authors.lastname: Prêtre
mesh_terms: D000714:Anastomosis, Surgical / Q000295:instrumentation* / Q000379:methods; D001011:Aorta / Q000601:surgery*; D047549:Coronary Artery Bypass, Off-Pump / Q000295:instrumentation / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012501:Saphenous Vein / Q000637:transplantation*; D020521:Stroke / Q000517:prevention & control; D014656:Vascular Surgical Procedures / Q000295:instrumentation* / Q000379:methods
keywords: Anastomosis; aorta; coronary artery bypass; off-pump; saphenous vein; surgical; thoracic