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Ann Thorac Surg 2005;79:700-701
© 2005 The Society of Thoracic Surgeons

Case report

Reinforcement of Saphenous Vein Graft With ePTFE Graft for Axillocoronary Bypass Grafting

Hiroyuki Nagahama, MD, PhDa,*, Yasunori Fukushima, MD, PhDa, Takahiro Hayase, MDa, Makoto Yoshioka, MD, PhDa, Toshio Onitsuka, MD, PhDb

a Department of Thoracic and Cardiovascular Surgery, Miyazaki Medical Association Hospital, Miyazaki, Japan
b Second Department of Surgery, Miyazaki Medical College, Miyazaki, Japan

Accepted for publication August 28, 2003.

* Address reprint requests to Dr Nagahama, Department of Thoracic and Cardiovascular Surgery, Miyazaki Medical Association Hospital, 738-1 Funato Shin'Beppu, Miyazaki 880-0834, Japan
dokt05{at}cure.or.jp

Arteriosclerosis in the ascending aorta is widely accepted as a strong risk factor for the occurrence of stroke after coronary artery bypass grafting (CABG). The aortic no-touch technique, with a variety of modifications, has been used to reduce the risk of post-CABG stroke. Saphenous vein grafts (SVGs) have been used for axillocoronary bypass grafting, a modification of the aortic no-touch technique. However, kinking or compression often occurs with SVGs. We report here the successful application of an 8-mm expanded polytetrafluoroethylene graft, of the external bead support type, that was used to cover an SVG during axillocoronary bypass grafting.






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