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Epicardial dissection may solve the problem of saphenous vein graft length.

Cingoz F - Kardiochir Torakochirurgia Pol (2015)

Bottom Line: Saphenous vein graft length may be not enough in some cases in aortocoronary bypass surgery.If the graft length is not enough, cardiac surgeons can use epicardial and fatty dissection to release tightening saphenous vein graft, especially in the right coronary artery fashion.Abstract available from the publisher.

View Article: PubMed Central - PubMed

Affiliation: Department of Cardiovascular Surgery, Gulhane Military Medical Academy, Etlik, Ankara, Turkey.

ABSTRACT
Saphenous vein graft length may be not enough in some cases in aortocoronary bypass surgery. If the graft length is not enough, cardiac surgeons can use epicardial and fatty dissection to release tightening saphenous vein graft, especially in the right coronary artery fashion.

No MeSH data available.


Dissected right coronary artery line, placed vein graft, and illustration of the placed graft
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Figure 0001: Dissected right coronary artery line, placed vein graft, and illustration of the placed graft

Mentions: A saphenous vein graft was anastomosed to the right coronary artery and its proximal site was anastomosed to the ascending aorta. After taking the side clamp, a serious tightening was observed before termination of cardiopulmonary bypass. To change the proximal anastomosis point and to add vein piece to the saphenous vein graft were thought to give the accurate graft length. It was given up because of lack of saphenous vein graft. Epicardial fatty tissue was deeply cut and some venous branches were ligated with titanium clips. The native right coronary artery line was used to place the vein graft. Approximately 2 or 3 cm graft length was obtained using this technique. The optimal saphenous vein graft length was proved by this dissection (Fig. 1) and overstretching was corrected.


Epicardial dissection may solve the problem of saphenous vein graft length.

Cingoz F - Kardiochir Torakochirurgia Pol (2015)

Dissected right coronary artery line, placed vein graft, and illustration of the placed graft
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4520500&req=5

Figure 0001: Dissected right coronary artery line, placed vein graft, and illustration of the placed graft
Mentions: A saphenous vein graft was anastomosed to the right coronary artery and its proximal site was anastomosed to the ascending aorta. After taking the side clamp, a serious tightening was observed before termination of cardiopulmonary bypass. To change the proximal anastomosis point and to add vein piece to the saphenous vein graft were thought to give the accurate graft length. It was given up because of lack of saphenous vein graft. Epicardial fatty tissue was deeply cut and some venous branches were ligated with titanium clips. The native right coronary artery line was used to place the vein graft. Approximately 2 or 3 cm graft length was obtained using this technique. The optimal saphenous vein graft length was proved by this dissection (Fig. 1) and overstretching was corrected.

Bottom Line: Saphenous vein graft length may be not enough in some cases in aortocoronary bypass surgery.If the graft length is not enough, cardiac surgeons can use epicardial and fatty dissection to release tightening saphenous vein graft, especially in the right coronary artery fashion.Abstract available from the publisher.

View Article: PubMed Central - PubMed

Affiliation: Department of Cardiovascular Surgery, Gulhane Military Medical Academy, Etlik, Ankara, Turkey.

ABSTRACT
Saphenous vein graft length may be not enough in some cases in aortocoronary bypass surgery. If the graft length is not enough, cardiac surgeons can use epicardial and fatty dissection to release tightening saphenous vein graft, especially in the right coronary artery fashion.

No MeSH data available.