A new approach for proximal anastomosis in type “a” acute aortic dissection: prosthesis eversion Andrea Rignano, MD, Guido C Keller, MD, Michele Carmo,

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Presentation transcript:

A new approach for proximal anastomosis in type “a” acute aortic dissection: prosthesis eversion Andrea Rignano, MD, Guido C Keller, MD, Michele Carmo, MD, Giovanni B Anguissola, MD, Piergiorgio G Settembrini, MD The Annals of Thoracic Surgery Volume 76, Issue 3, Pages 949-951 (September 2003) DOI: 10.1016/S0003-4975(03)00444-2

Fig 1 (A) After the prosthesis is completely inverted, it is inserted into the ventricle through the aortic valve. The free margin of the prosthesis matches the border of the previously prepared aortic stump. (B) The anastomosis is performed with a double suture: first a circular suture and then whipstitches with the same polypropylene 3-0 thread. The Annals of Thoracic Surgery 2003 76, 949-951DOI: (10.1016/S0003-4975(03)00444-2)

Fig 2 (A) The eversion of the prosthesis is obtained by tracting on the thread previously fixed. (B) The addition of hemostatic stitches after completion of the anastomosis is easy as the anastomosis itself is completely external. The Annals of Thoracic Surgery 2003 76, 949-951DOI: (10.1016/S0003-4975(03)00444-2)