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Ann Thorac Surg 1977;23:152-153
© 1977 The Society of Thoracic Surgeons

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Articles

How to Shorten, Lengthen, or Untwist Saphenous Vein Grafts

Hospital of the Good Samaritan, Los Angeles, CA.

Accepted for publication July 26, 1976.

^* Address reprint requests to Dr. Tucker, 1136 W Sixth St, Los Angeles, CA 90017.

A simple method is described to correct saphenous vein bypass grafts that inadvertently have been made too long or too short or have become twisted. The essential feature of the technique is the use of a Satinsky vascular clamp to hold the divided ends of the vein and maintain their alignment during the repair. The most accessible portion of the vein is used as the site for the repair, leaving the aortic and coronary artery ends of the graft intact. While we have not had need to use the technique frequently, we have found it to be a simple method and believe it to be useful when such instances arise.