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Oliver T. Reuthebuch
Alexander Kadner
Mario L. Lachat
Marko I. Turina
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Ann Thorac Surg 2003;75:1626-1629
© 2003 The Society of Thoracic Surgeons

Case report

Graft occlusion after deployment of the symmetry bypass system

Oliver T. Reuthebuch, MDa*, Alexander Kadner, MDa, Mario L. Lachat, MDa, Marko I. Turina, MDa

a Clinic for Cardiovascular Surgery, University Hospital, Zurich, Switzerland

Accepted for publication October 15, 2002.

* Address reprint requests to Dr Reuthebuch, Clinic for Cardiovascular Surgery, University Hospital Zurich, Raemistrasse 100, CH 8091 Zurich, Switzerland
e-mail: oliver.reuthebuch{at}chi.usz.ch

Recently the Symmetry Bypass System (SJM, St. Paul, MN) became available. Now the system is frequently applied for vein-graft to aorta anastomoses in off-pump coronary artery bypass operations. This report describes a complication associated with the use of the Symmetry Bypass System (SJM) in a patient undergoing a standard off-pump coronary artery bypass procedure. A novel imaging system (SPY, Novadaq, Toronto, Canada) was applied for intraoperative assessment of graft function, and this system immediately diagnosed the occlusion of the proximal mechanical anastomosis caused by a mobile atheromatous aortic plaque.




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