Download PDF
Thorac Cardiovasc Surg 2013; 61(08): 687-690
DOI: 10.1055/s-0033-1351117
How to Do It
Georg Thieme Verlag KG Stuttgart · New York

Kinky Circumflex Grafts: The Left Appendage Flip Maneuver

Ivor F. Galvin
1   Dunedin Hospital and the University of Otago, Dunedin, New Zealand
,
Nur Azri Bin Haji Mohd Yasin
1   Dunedin Hospital and the University of Otago, Dunedin, New Zealand
,
Pankaj Saxena
1   Dunedin Hospital and the University of Otago, Dunedin, New Zealand
› Author Affiliations
Further Information

Publication History

13 April 2013

12 June 2013

Publication Date:
06 August 2013 (online)

    Permissions and Reprints All articles of this category

Corrected by:

Erratum to: Kinky circumflex grafts: The left appendage flip maneuver. Thorac Cardiovasc Surg 2013;61:687–690Thorac Cardiovasc Surg 2013; 61(08): e3-e3
DOI: 10.1055/s-0033-1361939

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.

Keywords

CABG - saphenous vein grafts - left atrial appendage
 

  • References

  • 1 Galvin IF, Newman DC. Circumflex exposure using a cardiac sling. Ann Thorac Surg 1990; 49 (5) 833-834
    CrossrefPubMedGoogle Scholar
  • 2 Galvin IF. Mammary artery grafts: a new no-touch technique for anastomosis. Ann Thorac Surg 1991; 51 (3) 500-503
    CrossrefPubMedGoogle Scholar
  • 3 Galvin IF. New shapes and sizes: a T-tube coronary conduit. Ann Thorac Surg 1993; 56 (5) 1184-1186
    CrossrefPubMedGoogle Scholar
  • 4 Galvin IF, Galvin SD. Top-end aortocoronary anastomosis made easy: the visor technique. J Card Surg 2010; 25 (5) 511-512
    CrossrefPubMedGoogle Scholar
  • 5 Saxena P, Chai PH, Galvin I. Composite venous coronary grafts: construction made simple. Ann Thorac Surg 2012; 93 (4) 1324-1325
    CrossrefPubMedGoogle Scholar