Reinforcement of HeartMate II Bend Relief Connection: Champagne Bottle Technique  Takeyoshi Ota, MD, PhD, Hiroo Takayama, MD, PhD, Zain Khalpey, MD, PhD,

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Reinforcement of HeartMate II Bend Relief Connection: Champagne Bottle Technique  Takeyoshi Ota, MD, PhD, Hiroo Takayama, MD, PhD, Zain Khalpey, MD, PhD, Yoshifumi Naka, MD, PhD  The Annals of Thoracic Surgery  Volume 95, Issue 4, Pages e107-e108 (April 2013) DOI: 10.1016/j.athoracsur.2012.12.023 Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 In the champagne bottle technique, the hooks are bent up like a J shape and serve as a stopper mechanism (arrow A). The Annals of Thoracic Surgery 2013 95, e107-e108DOI: (10.1016/j.athoracsur.2012.12.023) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 In the modified champagne bottle technique, care needs to be taken to twist the wire around the bend relief down, without kinking or torquing the outflow graft beneath the bend relief (arrow B). The Annals of Thoracic Surgery 2013 95, e107-e108DOI: (10.1016/j.athoracsur.2012.12.023) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions