BACKGROUND Free jejunal interposition is a useful technique for reconstruction of the cervical esophagus. However, the distal anastomosis between the graft and the remaining thoracic esophagus or a gastric conduit can be technically challenging when located very low in the thoracic aperture. We here describe a modified technique for retrograde stapling of a jejunal graft to a failed gastric con...

A 69 year old gentleman with a background history of previous coronary artery bypass graft underwent open abdominal aortic aneurysm repair for a 9 cm symptomatic juxta renal aortic aneurysm with a 20 mm dacron graft 14 years ago. He had pneumonia and pseudomembranous colitis post operatively but recovered completely and was discharged home. He returned within 2-3 weekswith abdominal and back pa...

usually occur at the aortic isthmus. Typically, the patient is relatively young, free of diffuse vascular disease and the aneurysm arises frorn a linear, transverse disruption of the intima and media, with no significant loss by dissection of adjacent normal vessel. The basic therapeutic challenge, therefore, simply consists of the necessity of restoring continuity of normal aortic wall after t...

OBJECTIVE This study aims to evaluate the effects of prophylactic heart donor tricuspid annuloplasty in patients after heart transplantation with bicaval anastomosis. METHODS From 2002 to 2005, 20 patients undergoing heart transplantation with bicaval anastomosis and with a survival rate over 6 months were deliberately selected. Patients were divided into two groups: Group I - 10 patients who...

BACKGROUND Haemodialysis vascular access dysfunction (due to venous stenosis and thrombosis) is a leading cause of hospitalization and morbidity. The aim of the current study was to identify the specific cell types present within stenotic tissue samples from patients with AV fistula and graft failure. METHODS Discarded tissue segments were collected from the stenotic portions (usually near th...

BACKGROUND Haemodialysis vascular access dysfunction is currently a huge clinical problem. In an attempt to reduce the morbidity associated with haemodialysis vascular access dysfunction, we have previously developed and validated a local perivascular paclitaxel release system that has been shown to release paclitaxel for at least 3 weeks. The aim of the current study was to evaluate the in viv...

The successful completion of esophageal reconstruction after esophagectomy is a great challenge in esophageal surgery. The gastric reconstruction is widely employed in benign and malignant esophageal disease. Compared to other digestive organs, stomach has a good blood supply and gastric procedure requires a single reconstructive anastomosis. The gastric tube is a durable graft, retaining its s...

Bypass surgery in aortoiliac or aortofemoral occlusive disease can be technically demanding and hazardous due to huge calcifications and/or patient co-morbidities. We report about mid-term results of a telescoping sutureless aortic anastomosis technique using endografts as connectors to address such challenging situations. This is a single-center experience (2004-2011) in seven patients (63 ± 6...

BACKGROUND Technical problems such as graft and vascular size are more common in living donor liver transplantation (LDLT) than in deceased donor liver transplantation. It is usually possible to get enough length of vessels on the graft, but the opposite situation is devastating. Finding the suitable vessel graft is life-saving in those situations. In this paper we present a case of gonodal vei...

Aim: To analyze the one-year-patency of infrainguinal arterial reconstructions in relation to venous graft diameter and length and the run-off segment, when arteries above the proximal anastomosis of the reconstruction are not diseased. Material and Methods: We compared retrospectively for two-year period the diameter, the length of the used vein and the run-off segment in 107 consecutively con...