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Open anastomosis: an alternative for proximal vein graft anastomoses in significantly diseased aortas

Department of Cardiothoracic Surgery, University Hospital, 3000-075 Coimbra, Portugal

Received 11 June 2009; received in revised form 7 August 2009; accepted 17 August 2009.

^_* Corresponding author. Tel.: +351 239 400418; fax: +351 239 829674. (Email: antunes.cct.huc{at}sapo.pt).

We describe a simple technique of constructing proximal vein graft anastomoses, in an open fashion, under brief periods of very low pump flows. We have used this technique without complications in more than 100 patients with significantly diseased ascending aorta wall. In our opinion, this technique is a good alternative to other, more complex, approaches often described.

Key Words: CABG • Venous grafts • Anastomosis