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Ann Thorac Surg 2007;83:1906-1907
© 2007 The Society of Thoracic Surgeons

How To Do It

A "Double Overlap" Suture Technique for the Proximal Attachment of a Composite Graft to the Aortic Annulus

John A. Rousou, MD*, Abdallah K. Alameddine, MD, Chunjie Yang, MD

Division of Cardiac Surgery, Baystate Medical Center, Springfield, Massachusetts

Accepted for publication May 24, 2006.

* Address correspondence to Dr Rousou, Baystate Medical Center, 759 Chestnut St, Suite 4628, Springfield, MA 01107 (Email: susan.parent{at}bhs.org).

Repair of an aortic root aneurysm using a composite graft is sometimes complicated by proximal suture line bleeding, which may be very difficult to control. We adopted a previously described technique of "double overlap" sutures on the annulus and the prosthetic cuff, which has virtually eliminated this complication.






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