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Pasala S. Ravichandran
Jeffrey S. Swanson
Hugh L. Gately
Hagop Hovaguimian
Anthony P. Furnary
Albert Starr
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Ann Thorac Surg 1996;61:245-246
© 1996 The Society of Thoracic Surgeons

How To Do It

Reversed Bevel Technique for Anastomosis at the Aortic Arch

Pasala S. Ravichandran, MD, H. Storm Floten, MD, Jeffrey S. Swanson, MD, Hugh L. Gately, MD, Hagop Hovaguimian, MD, Anthony P. Furnary, MD, Albert Starr, MD

The Heart Institute at Providence St. Vincent Medical Center, and Department of Cardiothoracic Surgery, Veterans' Affairs Medical Center, Portland, Oregon

Accepted for publication September 11, 1995.

We describe a method for performing the distal anastomosis in replacement of the ascending and the proximal arch of the aorta with specific attention to obtaining accurate length and orientation of the graft. This method reduces the incidence of both anastomotic dehiscence due to tension and obstruction caused by redundant graft.




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