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Saphenous Vein Patch Plasty to Correct Saphenous Graft and Aortotomy Mismatch

Department of Cardiothoracic Surgery, University Hospital of North Staffordshire, Stoke-on-Trent, United Kingdom

For reprint information contact: Maninder Singh Kalkat, FRCS Tel: 44 192 262 4653 Fax: 44 121 627 5736 Email: mankalkat{at}hotmail.com, 12 Redruth Close, Parkhall, Walsall WS5 3ER, United Kingdom.

Mismatch of aortotomy and saphenous vein graft size occasionally occurs and can compromise the contour of the anastomosis thereby jeopardising its patency. We describe an alternative technique of saphenous vein patch plasty to overcome this complication by giving a more desirable hooded contour to the anastomosis. This results in improved graft patency, hemostasis and clinical outcome.