in this theoretical study, the effect of various types of bypass graft angles on the flow field, has been investigated specially on the temporal wall shear stress (wss) on the toe, heel and some locations on the bed of the left anterior descending (lad) artery at the anastomoses areas in the aorto-coronary (ac) and coronary-coronary (cc) bypasses. flow fields in both bypasses with angles of 20º...

In this theoretical study, the effect of various types of bypass graft angles on the flow field, has been investigated specially on the temporal Wall Shear Stress (WSS) on the toe, heel and some locations on the bed of the Left Anterior Descending (LAD) artery at the anastomoses areas in the Aorto-Coronary (AC) and Coronary-Coronary (CC) bypasses. Flow fields in both bypasses with angles of...

OBJECTIVE The use of automatic anastomotic devices in coronary artery bypass grafting surgery is associated with lower patency rates in comparison to conventional anastomosis methods. This is thought to be caused by graft curvature occurring after closing of the chest wall. METHODS We evaluated 39 grafts in 28 patients who underwent off-pump coronary artery bypass surgery using the PAS-Port. ...

Numerical analysis was performed for the effect of venous anastomosis angle in a forearm arteriovenous graft hemodialysis using multiphase blood model. The geometry vessel generated based on patient-computed tomography data. angles were set at 15°, 30°, and 45°. hematocrit 34%, 45%, 58%. larger angle, high wall shear stress area >11 Pa, increases to side vein away from site. Further, relativ...

PURPOSE We examined grafts employing for morphological analysis of early and long-term results on proximal anastomosis with the PAS-Port(®). METHODS One hundred and four patients treated by OPCAB with PAS-Port(®) were performed postoperative MDCT. Morphological evaluation of the proximal anastomotic region was classified into three groups (A; graft was anastomosed almost perpendicularly to th...

Computational fluid dynamics(CFD) techniques were used to investigate the hemodynamic effect on EC-IC brain bypass. Local hemodynamic factors at the vascular anastomosis sites have long been thought to play an important role in the platelet activation, growth of intimal hyperplasia and thrombosis of brain bypass anastomosis and hence, affecting graft longevity. In this study, the medical imagin...

OBJECTIVES To investigate the procedure characteristics and long term follow-up of percutaneous coronary intervention (PCI) for saphaneous vein graft (SVG) lesions in the elderly patients. METHODS From December 2005 to December 2011, 84 graft lesions were treated percutaneously. Seventeen were located at proximal anastomosis, 48 were located at SVG body, 19 were located at distal anastomosis....

BACKGROUND Pseudoaneurysm of graft-graft anastomosis is an extremely rare but potentially fatal complication after thoracic aorta replacement with a prosthetic graft. We report a case of pseudoaneurysm at the graft-graft anastomosis of a hand-sewn branched graft. CASE PRESENTATION A 65-year-old man underwent total arch replacement with a hand-sewn branched graft for Stanford type A acute aort...

Surgical environment is becoming increasingly challenging for the cardiac surgeon since off-pump coronary arteries bypass grafts and minimally invasive approach came up. The suture technique for coronary anastomosis construction is becoming inadequate to meet new surgeons’ demand. Therefore, there is an increasing need for alternative ways to perform coronary bypasses. This article reviews the ...