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Briefly occlusive coronary anastomosis with tissue adhesive

Published byΠαραμονος Βικελίδης Modified over 5 years ago

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Presentation on theme: "Briefly occlusive coronary anastomosis with tissue adhesive"— Presentation transcript:

1 Briefly occlusive coronary anastomosis with tissue adhesive
Marc P. Buijsrogge, MD, Cees W.J. Verlaan, Paul F. Gründeman, MD, PhD, Cornelius Borst, MD, PhD  The Journal of Thoracic and Cardiovascular Surgery  Volume 125, Issue 2, Pages (February 2003) DOI: /mtc Copyright © 2003 American Association for Thoracic Surgery Terms and Conditions

2 Fig. 1 Anastomotic procedure. A, Adhesive (1.5 μL) was applied to LAD by pipette point. B, After adhesive polymerization, top of ITA was incised to obtain adequate view of designated anastomotic site. Two traction sutures were placed at lateral sides of anastomosis. C, Arteriotomy was made through both vessel walls. D, Top incision was closed, and distal end of ITA was clipped. E, Two traction sutures were tied to epicardium to convert longitudinal arteriotomy into diamond-shape form. The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /mtc ) Copyright © 2003 American Association for Thoracic Surgery Terms and Conditions

3 Fig. 2 Representative angiogram of low-flow adhesive anastomosis at 5 weeks after operation demonstrating angiographic appearance similar to end-to-side anastomosis. Note clip placed at distal end of ITA (black arrow). The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /mtc ) Copyright © 2003 American Association for Thoracic Surgery Terms and Conditions

4 Fig. 3 Gross view from the top of bypass graft into adhesive anastomosis after excision at 5 weeks. Black x indicates clipped distal end of ITA. The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /mtc ) Copyright © 2003 American Association for Thoracic Surgery Terms and Conditions

5 Fig. 4 Transverse cross-section of segment toward toe of low-flow adhesive anastomosis at 5 weeks after operation (not pressure fixed). Note rim of (former) inverted vessel walls covered by neointimal repair tissue (IR) and reorganized lumen of ITA graft. A, Adhesive; C, position of clip (top incision closure) after its removal (elastin van Gieson stain; bar represents 250 μm). The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /mtc ) Copyright © 2003 American Association for Thoracic Surgery Terms and Conditions

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