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F Filsoufi, MD, R. S Farivar, MD, L Aklog, MD, C. A Anderson, MD, R

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Presentation on theme: "F Filsoufi, MD, R. S Farivar, MD, L Aklog, MD, C. A Anderson, MD, R"— Presentation transcript:

1 Automated distal coronary bypass with a novel magnetic coupler (MVP system) 
F Filsoufi, MD, R.S Farivar, MD, L Aklog, MD, C.A Anderson, MD, R.H Chen, MD, S Lichtenstein, MD, J Zhang, MD, D.H Adams, MD  The Journal of Thoracic and Cardiovascular Surgery  Volume 127, Issue 1, Pages (January 2004) DOI: /j.jtcvs

2 Figure 1 Enabling technologies that facilitate minimally invasive cardiac surgery. MIDCAB, Minimally invasive coronary artery bypass; OPCAB, off-pump coronary artery bypass; TECAB, total endoscopic coronary artery bypass. The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /j.jtcvs )

3 Figure 2 MVP system: A, elliptical magnets; B, delivery device.
The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /j.jtcvs )

4 Figure 3 Illustration of the MVP system: 1, 2, and 3, Construction of anastomotic docking port; 4, creation of the anastomosis by approximation of the 2 magnetic ports. The device measures 3.0 mm at the minor axis and 7.0 mm at the major axis and is 0.4 mm thick. The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /j.jtcvs )

5 Figure 4 Angiography at 1 month: LITA-to-LAD anastomosis with MVP system. The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /j.jtcvs )

6 Figure 5 Histologic study. A, Internal gross appearance of the lumen of the implant at 6 months on both graft and coronary sides. B, Hematoxylin and eosin–stained section of tissue encapsulating outside and lumen of MVP implants. C, Factor VIII–stained section demonstrating a continuous single endothelial layer covering the MVP lumen. D, Hematoxylin and eosin–stained section (100×) showing viable tissue between MVP port implants. The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /j.jtcvs )

7 Figure 5 Histologic study. A, Internal gross appearance of the lumen of the implant at 6 months on both graft and coronary sides. B, Hematoxylin and eosin–stained section of tissue encapsulating outside and lumen of MVP implants. C, Factor VIII–stained section demonstrating a continuous single endothelial layer covering the MVP lumen. D, Hematoxylin and eosin–stained section (100×) showing viable tissue between MVP port implants. The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /j.jtcvs )

8 Figure 5 Histologic study. A, Internal gross appearance of the lumen of the implant at 6 months on both graft and coronary sides. B, Hematoxylin and eosin–stained section of tissue encapsulating outside and lumen of MVP implants. C, Factor VIII–stained section demonstrating a continuous single endothelial layer covering the MVP lumen. D, Hematoxylin and eosin–stained section (100×) showing viable tissue between MVP port implants. The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /j.jtcvs )

9 Figure 5 Histologic study. A, Internal gross appearance of the lumen of the implant at 6 months on both graft and coronary sides. B, Hematoxylin and eosin–stained section of tissue encapsulating outside and lumen of MVP implants. C, Factor VIII–stained section demonstrating a continuous single endothelial layer covering the MVP lumen. D, Hematoxylin and eosin–stained section (100×) showing viable tissue between MVP port implants. The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /j.jtcvs )


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