An interrupted technique for difficult distal anastomosis during arch surgery

Fabrizio Follis, Gianfranco Filippone, Giuseppe Montalbano, Luigi Centineo, Mario Finazzo, Marco Follis

Research output: Contribution to journalArticlepeer-review


During aortic arch replacement, construction of the distal anastomosis represents the crucial step because of the time limit of circulatory arrest. If the aneurysmal neck is located at the level of the 5 th thoracic vertebra, it becomes difficult to carry out through a sternotomy approach. We describe a case in which an interrupted suture technique, similar to that used for valve replacement, was employed to maximize the limited exposure and achieve a water-tight anastomosis.

Original languageEnglish
Pages (from-to)411-413
Number of pages3
JournalAsian Cardiovascular and Thoracic Annals
Issue number6
Publication statusPublished - Dec 2011


  • Aneurysm
  • Aortic aneurysm
  • Blood vessel prosthesis implantation
  • Dissecting
  • Suture techniques
  • Thoracic

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery
  • Pulmonary and Respiratory Medicine

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