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Ann Thorac Surg 2005;79:1422-1424
© 2005 The Society of Thoracic Surgeons

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How to do it

The "Eaves" Technique for Distal Anastomosis in Aortic Arch Replacement

^a Division of Cardiovascular Surgery, National Kure Medical Center, Hiroshima, Japan

Accepted for publication December 10, 2003.

^* Address reprint requests to Dr Yoshitatsu, Division of Cardiovascular Surgery, National Kure Medical Center, 3-1, Aoyama, Kure, Hiroshima, 737-0023, Japan;
yoshitatsu{at}kure-nh.go.jp

We describe the "eaves" technique, a new method for distal anastomosis in aortic arch replacement. The 1-cm wide eaves were created at the site 3 to 4 cm distal to the graft end. The graft was bound with vessel tape from the eaves to the site proximal to the origin of the first branch to make a working space above the eaves and to facilitate graft handling. Then the native descending aorta was sutured to the eaves easily. The eaves enabled a greater surface contact area between the graft and the inner wall of the aorta and reduced bleeding at the anastomosis.

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