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J Thorac Cardiovasc Surg 2004;127:602-603
© 2004 The American Association for Thoracic Surgery

Brief communication

Total magnetic vascular coupling for arterial revascularization

^a Division of Thoracic and Cardiovascular Surgery, Medical School, Hannover, Germany

Received for publication August 11, 2003; accepted for publication September 10, 2003.

^* Address for reprints: Uwe Klima, MD, PhD, Department of Thoracic and Cardiovascular Surgery, Hannover Medical School, 30623 Hannover, Germany
klima@thg-mh.hannover.de

The first 20% of the full text of this article appears below.

Dr Klima

Several new automatic proximal and distal anastomotic devices are in practical use. Their clinical performance, feasibility, and angiographic follow-up have been described.^1,2 Most authors report on a single automatic anastomosis using a saphenous vein graft. Total arterial revascularization using beating heart techniques is suggested by many authors to be the method of choice for revascularization.³ However, to our knowledge, such an operation by means of automatic anastomotic devices has not been reported.

We describe the clinical and angiographic follow-up of a patient who underwent total arterial revascularization on the beating heart in which all anastomoses were performed with an automatic anastomotic magnetic coupling system, the Ventrica Magnetic Vascular Positioner (MVP) Distal Anastomosis System (Ventrica, Inc, Fremont, Calif).

Clinical summary

A 69-year-old man with a 12-month history of angina (preoperative New York Heart Association III) underwent cardiac catheterization revealing 3 vessel disease with significant stenosis (>70%) of all 3 main coronary arteries. Total arterial revascularization was performed using the right and left internal thoracic arteries (ITAs) and the left radial artery (RA). The surgical approach was through a median sternotomy. All target arteries were exposed using the Octopus 4 Tissue Stabilizer . . . [Full Text of this Article]

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				U. Klima, J. Beilner, E. Bagaev, S. Fischer, T. Kofidis, and J. Lotz MRI-Based Safety Evaluation of the Ventrica Magnetic Coronary Anastomotic System Asian Cardiovasc Thorac Ann, February 1, 2007; 15(1): 24 - 29. [Abstract] [Full Text] [PDF]

				U. Klima, T. Kofidis, J. Beilner, M. Maringka, S. Kirschner, and A. Haverich Anastomotic Obstruction After Magnetic Vascular Coupling After Minimally Invasive Direct Coronary Artery Bypass Grafting Ann. Thorac. Surg., February 1, 2006; 81(2): 728 - 729. [Abstract] [Full Text] [PDF]

				U. Klima, H. MacVaugh III, E. Bagaev, M. Maringka, S. Kirschner, J. Beilner, and A. Haverich Magnetic Vascular Port in Minimally Invasive Direct Coronary Artery Bypass Grafting Circulation, September 14, 2004; 110(11_suppl_1): II-55 - II-60. [Abstract] [Full Text] [PDF]