| Results with the Heartstring anastomotic device in patients with diseased ascending aorta. | |
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MedLine Citation:
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PMID: 16914416 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Avoidance of manipulation of diseased ascending aorta has been shown to be associated with a reduced risk of postoperative stroke after off-pump coronary artery bypass surgery (OPCAB). The use of the Heartstring device (Guidant, Indianapolis, USA) to accomplish a proximal aortic anastomosis without aortic clamping has been suggested in such patients. PATIENTS AND METHODS: From April 2004 to December 2005, proximal aortic anastomoses have been accomplished employing the Heartstring device in 19 patients with calcified ascending aorta who underwent OPCAB. The diagnosis of diseased ascending aorta was made intraoperatively by epiaortic ultrasound scanning. RESULTS: Eighteen vein grafts and three radial artery grafts have been successfully anastomosed to the ascending aorta by employing the Heartstring device. Breaking of eight seals occurred during insertion. One patient (5.2%) had stroke two days after urgent OPCAB. CONCLUSION: The use of the Heartstring anastomotic device should be considered in high-risk patients with diseased ascending aorta requiring a prompt myocardial revascularization, whenever there is a place to safely insert this device into the ascending aorta. |
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Authors:
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Fausto Biancari; Martti Mosorin; Jarmo Lahtinen; Jouni Heikkinen; Elsi Rasinaho; Vesa Anttila; Martti Lepojärvi; Tatu Juvonen |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Scandinavian cardiovascular journal : SCJ Volume: 40 ISSN: 1401-7431 ISO Abbreviation: Scand. Cardiovasc. J. Publication Date: 2006 Aug |
Date Detail:
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Created Date: 2006-08-17 Completed Date: 2007-01-03 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 9708377 Medline TA: Scand Cardiovasc J Country: England |
Other Details:
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Languages: eng Pagination: 238-9 Citation Subset: IM |
Affiliation:
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Division of Cardio-Thoracic and Vascular Surgery, Department of Surgery, Oulu University Hospital, Oulu, Finland. faustobiancari@yahoo.it |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Anastomosis, Surgical / instrumentation* Aorta / surgery Aortic Diseases / surgery*, ultrasonography Blood Vessel Prosthesis* Coronary Artery Bypass, Off-Pump / instrumentation* Female Humans Postoperative Complications / prevention & control Stroke / prevention & control Vascular Surgical Procedures / instrumentation |
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