Figure 1 – Side-Arm Patch Repair of Aortic Tear.
This patch was then directly anastomosed to the aorta with a #4-0
Prolene, and the side-arm was cannulated with a #24 French arterial
cannula. After this very brief period of circulatory arrest for the
extended patch anastomosis, cardiopulmonary bypass was resumed via the
side-arm patch, and the patient was rewarmed. The remainder of the vein
grafting to the right coronary artery proceeded without complication.
The patient had an unremarkable post-operative course and was discharged
home by post-operative day six. At one-month follow-up her angina had
completely resolved, and she was consented for anonymous inclusion in
publishing our surgical technique for educational value.