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Related Experiment Video

Updated: Jun 13, 2026

Full-root Aortic Valve Replacement by Stentless Aortic Xenografts in Patients with Small Aortic Roots
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Inverted graft insertion technique for apicoaortic bypass.

Yoshitsugu Nakamura1, Osamu Tagusari, Yoshimasa Seike

  • 1Department of Cardiovascular Surgery, NTT Medical Center Tokyo, 5-9-22 Higashigotanda, Shinagawa-ku, Tokyo 141-8625, Japan. yoshitsugu.nakamura@east.ntt.co.jp

European Journal of Cardio-Thoracic Surgery : Official Journal of the European Association for Cardio-Thoracic Surgery
|May 18, 2010
PubMed
Summary

This study presents a novel surgical technique for reinforcing the proximal anastomosis in apicoaortic bypass surgery. The method ensures simple and reliable suture placement for this complex cardiac procedure.

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Area of Science:

  • Cardiovascular Surgery
  • Surgical Techniques
  • Cardiac Procedures

Background:

  • The proximal anastomosis in apicoaortic bypass surgery presents significant technical challenges.
  • Reliable and safe methods are crucial for successful outcomes in cardiac procedures.

Purpose of the Study:

  • To describe a novel surgical technique for reinforcing the proximal anastomosis of the apicoaortic bypass.
  • To provide a simpler and more reliable method for this technically demanding aspect of cardiac surgery.

Main Methods:

  • A novel technique involving an inverted tube graft inserted into the left ventricle (LV) apex.
  • Suturing is performed from within the graft through the LV muscle, followed by a running suture.
  • Anastomosis is completed by externalizing the graft.

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Last Updated: Jun 13, 2026

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Main Results:

  • The described technique allows for straightforward and dependable suture placement.
  • No specialized devices are required for the proximal anastomosis.
  • The method simplifies a technically demanding aspect of apicoaortic bypass.

Conclusions:

  • This novel technique offers a simple and reliable solution for the proximal anastomosis in apicoaortic bypass.
  • It addresses the technical difficulties associated with this critical surgical step.
  • The method is effective without necessitating specialized equipment.