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J Thorac Cardiovasc Surg 2009;137:503-504
© 2009 The American Association for Thoracic Surgery
Brief Communication |
Department of Cardiovascular Surgery, Kokura Memorial Hospital, Fukuoka, Japan
Received for publication December 5, 2007; revisions received January 29, 2008; accepted for publication March 2, 2008. * Address for reprints: Masashi Kai, MD, Department of Cardiovascular Surgery, Kokura Memorial Hospital, 1-1 Kifunemachi Kokurakita-ku, Kitakyushu, Fukuoka, 8020073 Japan. (Email: m-kai@db4.so-net.ne.jp).
| The first 20% of the full text of this article appears below. |
Recently, a new proximal anastomosis device of a saphenous vein graft (SVG) to the aorta, the PAS-Port device (Cardica, Redwood City, Calif) has been introduced and yielded encouraging results in terms of neurologic complications and early patency.1,2
However, there is a concern about the midterm (at least 1 year after surgical intervention) patency rate. The aim of this study was to evaluate the midterm patency rate of SVGs whose proximal anastomosis was performed with the PAS-Port device.
Clinical Summary
Between January 2004 and September 2006, 69 PAS-Port devices had been used in 66 patients undergoing SVG proximal anastomosis in coronary artery bypass grafting (CABG) at Kokura Memorial Hospital. Sixty-three patients had off-pump grafting, and 3 patients had on-pump beating-heart grafting. The details of the operative data are summarized in
Table 1. Bilateral internal thoracic artery grafting for the left coronary territory was our standard method. The gastroepiploic artery was our first choice for revascularization of the
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