Modification of an Old Technique to Correct Kinking of Tubular Graft Interposed to Reconstruct Ascending Aorta
- Resource Type
- Authors
- Mladen Boricic; Dusko Nezic; Slobodan Micovic; Miroslav Milicic
- Source
- Heart, Lung and Circulation. 30:e139-e141
- Subject
- Pulmonary and Respiratory Medicine
Anemia, Hemolytic
medicine.medical_specialty
Graft thrombosis
030204 cardiovascular system & hematology
Anastomosis
law.invention
03 medical and health sciences
0302 clinical medicine
law
medicine.artery
Ascending aorta
medicine
Cardiopulmonary bypass
Humans
030212 general & internal medicine
Aorta
Aortic graft
Cardiopulmonary Bypass
business.industry
Anastomosis, Surgical
medicine.disease
Surgery
surgical procedures, operative
Heart failure
cardiovascular system
lipids (amino acids, peptides, and proteins)
Cardiology and Cardiovascular Medicine
business
- Language
- ISSN
- 1443-9506
Cardiac surgeons are occasionally faced with ascending aorta graft kinking following ascending aorta replacement. Although it may be difficult to precisely assess the correct length of the graft during aortic clamping, while performing proximal and distal graft anastomoses on an empty heart, the major reason for graft kinking is its excessive length. Haemolytic anaemia, graft thrombosis or even heart failure have been reported as a consequence of unrecognised and uncorrected kinking of the ascending aortic graft. This paper describes a modification and improvement of an old aortic graft non-clamping technique to solve the problem of kinked tubular graft without resuming cardiopulmonary bypass.