Maisano Francesco, Franzè Vincenzo, De Bonis Michele, Alfieri Ottavio
Cardiac Surgery Division, IRCCS Ospedale San Raffaele, Milano, Italy.
Heart Surg Forum. 2002;5(1):25-7.
Avoidance of aortic side-clamping may decrease the risk of embolization to the brain and other organs during coronary revascularization. Herein we describe our preliminary experience with an anastomotic device for proximal anastomosis construction.
From October 2000 to June 2001, 18 selected patients undergoing beating heart surgery had an aorta-to-saphenous vein graft anastomosis performed with the St. Jude Medical Aortic connector.
All anastomoses were successfully deployed. In two patients there was a minor anastomotic bleeding and in other two cases a kinking occurred due to a too short and a too long graft respectively. One patient, with graft occlusion on the fourteenth postoperative day, underwent successful percutaneous revascularization.
Our preliminary results indicate that the aortic anastomotic device is safe and effective and its use could be widened once long-term results are available.
在冠状动脉血运重建过程中，避免主动脉夹闭可能会降低脑和其他器官发生栓塞的风险。在此，我们描述使用吻合装置进行近端吻合构建的初步经验。
2000年10月至2001年6月，18例择期接受心脏不停跳手术的患者使用圣犹达医疗主动脉连接器进行主动脉至大隐静脉移植血管吻合。
所有吻合均成功完成。2例患者出现轻微吻合口出血，另外2例分别因移植血管过短和过长发生扭结。1例患者术后第14天移植血管闭塞，经皮血管再通成功。
我们的初步结果表明，主动脉吻合装置安全有效，一旦获得长期结果，其应用范围可能会扩大。
