@article{oai:kanazawa-u.repo.nii.ac.jp:00044734, author = {Moriyama, Hideki and Tomita, Shigeyuki and Tabata, Shigeki and Nagamine, Hiroshi and Arai, S. and Takemura, Hirofumi and Watanabe, Go and 森山, 秀樹 and 富田, 重之 and 田畑, 茂喜 and 永峯, 洋 and 新井, 禎彦 and 竹村, 博文 and 渡辺, 剛}, issue = {2}, journal = {胸部外科 = 日本心臓血管外科学会雑誌, The Japanese journal of thoracic surgery}, month = {Feb}, note = {From April to December 2002, 40 patients underwent coronary artery bypass grafting (CABG) using the St. Jude Medical (Minneapolis) Symmetry bypass system (aortic connector system: ACS). 59 proximal anastomoses (51 saphenous vein grafts, 8 radial artery grafts) were performed with the ACS. One saphenous vein graft occluded during operation. Postoperative evaluation of the anastomotic patency was carried out by angiography in 45 grafts. Five of the saphenous vein grafts were occluded (5/38). One patient who was shock state before operation presented with postoperative unconsciousness. Another patient died at 8th postoperative day caused by ventricular fibrillation. We conclude that the ACS produces a simple, quick way of performing the proximal anastomosis without the need for clamping the aorta, allows reducing risk of embolization by aortic manipulation. However, it is necessary to discuss sufficiently using the ACS, because the graft patency with the ACS is lower than with standard suturing technique., 金沢大学医薬保健研究域医学系}, pages = {89--92; discussion 92-95}, title = {Aortic connector system の使用経験}, volume = {58}, year = {2005} }