1. Tube device for facilitating distal anastomosis in aortic arch replacement 
Tadahiro Sasajima, MD, Kazutomo Goh, MD, Hidenori Asada, MD, Tokihito Sugawara, Norifumi Ohtani, MD 
The Annals of Thoracic Surgery 
Volume 66, Issue 4, Pages (October 1998)
DOI: /S (98)

2. Fig 1
(A) The proximal segment of the graft is squeezed into the inner tube. (B) The distal trunk of the graft is turned inside out and envelops the inner tube. (C) The inner tube containing the graft is squeezed into the outer tube. (D) The outer tube containing the graft is inserted into the descending thoracic aorta, and only the outer tube is removed. (E) The graft is placed in the aorta, and distal anastomosis by continuous sutures is performed. (F) After completion of the anastomosis, the inner tube is easily removed from the descending aorta.
The Annals of Thoracic Surgery  , DOI: ( /S (98) )