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Ann Thorac Surg 1998;66:1436-1437
© 1998 The Society of Thoracic Surgeons

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Tube device for facilitating distal anastomosis in aortic arch replacement

^a First Department of Surgery, Asahikawa Medical College Hospital, Asahikawa Medical College, Asahikawa, Japan

Accepted for publication June 5, 1998.

Address reprint requests to Dr Sasajima, First Department of Surgery, Asahikawa Medical College, Nishikagura 4-5, Asahikawa, 078 Japan
e-mail: (sasajit{at}asahikawa-med.ac.jp)

The technique of placing an inverted graft into the descending thoracic aorta facilitates and secures the distal anastomosis in aortic arch replacement, especially in the anastomosis beyond the transverse arch. We developed a simple technique using a pair of thin-walled tubes to enable the arch graft, with its four branches, to be smoothly inserted into the flaccid, normal-caliber descending aorta. The use of these tubes simplified the procedure, resulting in time saving.