Document Detail


Successful six-year follow-up of a sutureless device for proximal anastomoses in a severely calcified ascending aorta.
MedLine Citation:
PMID:  18492701     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Aortic connector devices (ACDs) for proximal anastomoses of vein grafts during coronary artery bypass grafting (CABG) have widely failed during recent years. As a consequence ACDs have been withdrawn from the market. METHOD: We report on an 81-year-old patient who had undergone CABG for three-vessel disease. The proximal anastomosis was accomplished with an ACD (St Jude Medical) due to a highly calcified ascending aorta. Six years later the patient underwent aortic valve replacement, which offered the opportunity of visual inspection of the previous ACD anastomosis. RESULT: Coronary angiography demonstrated a perfectly patent ACD anastomosis with a sufficient sequential vein graft to the marginal and the postero-lateral branches. Intraoperatively, the nitinol stent of the ACD anastomosis was perfectly incorporated, and covered with a thin layer of endothelial cells. DISCUSSION: Though poor, short- and mid-term results have led to the abandonment of ACDs, our case demonstrates a perfect anastomosis after a six-year follow-up.
Authors:
Thomas Puehler; Sandra Fraund-Cremer; Jochen Cremer; Andreas Boening
Publication Detail:
Type:  Case Reports; Journal Article     Date:  2008-05-20
Journal Detail:
Title:  Interactive cardiovascular and thoracic surgery     Volume:  7     ISSN:  1569-9285     ISO Abbreviation:  Interact Cardiovasc Thorac Surg     Publication Date:  2008 Aug 
Date Detail:
Created Date:  2008-07-30     Completed Date:  2008-10-09     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101158399     Medline TA:  Interact Cardiovasc Thorac Surg     Country:  England    
Other Details:
Languages:  eng     Pagination:  670-2     Citation Subset:  IM    
Affiliation:
Department of Cardiothoracic Surgery, University Regensburg, Franz-Josef-Strauss-Allee 11, D-93053 Regensburg, Germany. thomas.puehler@klinik.uni-regensburg.de
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MeSH Terms
Descriptor/Qualifier:
Aged, 80 and over
Anastomosis, Surgical / instrumentation
Aorta / pathology,  physiopathology,  surgery*
Aortic Diseases / physiopathology,  radiography,  surgery*
Calcinosis / physiopathology,  radiography,  surgery*
Coronary Angiography
Coronary Artery Bypass / instrumentation*
Equipment Design
Humans
Male
Saphenous Vein / transplantation*
Tomography, X-Ray Computed
Treatment Outcome
Vascular Patency
Comments/Corrections
Comment In:
Interact Cardiovasc Thorac Surg. 2008 Aug;7(4):672   [PMID:  18664671 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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