Clinical experience with aortic connector system

Hideki Moriyama, S. Tomita, S. Tabata, H. Nagamine, S. Arai, H. Takemura, G. Watanabe

Research output: Contribution to journalArticlepeer-review

Abstract

From April to December 2002, 40 patients underwent coronary artery bypass grafting (CABG) using the St. Jude Medical (Minneapolis) Symmetry bypass system (aortic connector system: ACS). 59 proximal anastomoses (51 saphenous vein grafts, 8 radial artery grafts) were performed with the ACS. One saphenous vein graft occluded during operation. Postoperative evaluation of the anastomotic patency was carried out by angiography in 45 grafts. Five of the saphenous vein grafts were occluded (5/38). One patient who was shock state before operation presented with postoperative unconsciousness. Another patient died at 8th postoperative day caused by ventricular fibrillation. We conclude that the ACS produces a simple, quick way of performing the proximal anastomosis without the need for clamping the aorta, allows reducing risk of embolization by aortic manipulation. However, it is necessary to discuss sufficiently using the ACS, because the graft patency with the ACS is lower than with standard suturing technique.

Original languageEnglish
Pages (from-to)89-92; discussion 92-95
JournalKyobu geka. The Japanese journal of thoracic surgery
Volume58
Issue number2
Publication statusPublished - Feb 2005

ASJC Scopus subject areas

  • Medicine(all)

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