title: Oblique venotomy with parallelogram anastomosis in sequential bypass grafting.
abstract: The proximal vein graft is incised obliquely and anastomosed to the coronary artery to ensure that the proximal rim of the vein incision is adjusted to the lateral side of the coronary artery incision adjacent to the proximal rim. So the vein graft can be placed perpendicular to the coronary artery without kinking, and the anastomosis orifice can be made wider than those made with diamond anastomosis. Oblique venotomy with parallelogram anastomosis provides sufficient anastomotic flow, allows long incisions, and prevents kinking.
authors.affiliation: Cardiovascular Surgery Department, Nagoya Tokushukai General Hospital, 2-52 Kozoji-cho kita, Kasugai, Aichi, 487-0016, Japan, o-takeki@nagoya.tokushukai.or.jp.
authors.forename: Takeki
authors.initials: T
authors.lastname: Ohashi
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Iida
authors.forename: Souichirou
authors.initials: S
authors.lastname: Kageyama
authors.forename: Masato
authors.initials: M
authors.lastname: Furui
authors.forename: Gaku
authors.initials: G
authors.lastname: Uchino
authors.forename: Noriko
authors.initials: N
authors.lastname: Kodani
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000714:Anastomosis, Surgical / Q000379:methods*; D001026:Coronary Artery Bypass / Q000379:methods*; D003331:Coronary Vessels / Q000601:surgery*; D006085:Graft Survival; D006801:Humans; D008297:Male; D008875:Middle Aged; D014680:Veins / Q000637:transplantation*
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