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Kinky circumflex grafts: the left appendage flip maneuver
Ivor F Galvin1, Nur Azri Bin Haji Mohd Yasin, Nur Azri Bin Mohd Yasin
1Dunedin Hospital and the University of Otago, Dunedin, New Zealand.
The Thoracic and Cardiovascular Surgeon
|August 8, 2013
Abstract:
The "too-long," or redundant, circumflex graft is notorious for its tendency to form a kink. The acute angle (the kink) typically occurs over the front of the pulmonary trunk. Described herein are (1) the left appendage flip maneuver, a simple solution to correct graft kink, and (2) analysis and explanation of vein graft kink.
