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Related Experiment Video

Updated: Dec 8, 2025

Fully Endoscopic Mitral Valve Repair with Percutaneous Cannulation of Groin Vessels
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Proximal Anastomotic Device Malfunction: Salvage Using Alternative Option.

Vipin Dulam1, Jim McCarthy1, Dmitri Guvakov2

  • 11231425139 Division of Cardiovascular Surgery, Temple University Hospital, Philadelphia, PA, USA.

Innovations (Philadelphia, Pa.)
|September 17, 2020
PubMed
Summary

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Outpatient Point-of-Care Cardiopulmonary Exercise Testing in Chronic Thromboembolic Pulmonary Disease: A Single-Center Experience.

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Coronary Artery Bypass Grafting to Acute Marginal Branch: Forgotten Coronary Artery.

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Embolic stroke during cardiac surgery can be reduced with new devices. A case study shows a novel approach to manage device failure during aortocoronary graft anastomosis, ensuring patient safety.

Area of Science:

  • Cardiovascular Surgery
  • Medical Device Technology
  • Neurological Complications

Background:

  • Embolic stroke is a significant risk during cardiac surgery.
  • Minimizing embolic events is crucial for patient outcomes.
  • New devices aim to create a bloodless field for aortocoronary graft anastomosis.

Observation:

  • A patient with a Class V aorta presented challenges during cardiac surgery.
  • Initial device deployment for aortocoronary graft anastomosis failed after aortic punch.
  • The surgical team encountered difficulties with the primary device.

Findings:

  • A second, alternative device was successfully used to salvage the aortotomy.
  • This allowed for the completion of the aortocoronary graft anastomosis.
Keywords:
anastomosis assist deviceaortic surgerybloodless anastomosiscardiac surgerycoronary artery bypass surgery

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  • The case demonstrates adaptability in managing device-related complications.

    • Implications:

    • This case highlights the importance of having backup strategies for device-based cardiac procedures.
    • Successful management of device failure can prevent serious complications like embolic stroke.
    • Further research into device reliability and troubleshooting in complex aortic cases is warranted.