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Copyright ©The Author(s) 2015.
World J Surg Proced. Jul 28, 2015; 5(2): 208-216
Published online Jul 28, 2015. doi: 10.5412/wjsp.v5.i2.208
Figure 4
Figure 4 Suture line reinforcement with felt pledgets. A: Performing the posterior wall of the anastomosis first, in a “parachute” fashion. The suture travels from the prosthetic graft, to native aorta, then finally through the pledget; B: The suture line is tightened with the use of a nerve hook, and care taken to place the pledge on the outer surface of the aorta; C: Once the posterior wall of the anastomosis is completed, the anterior wall of the anastomosis is completed. The graft is somewhat invaginated within the aorta; D: The completed anastomosis, whereby the native aorta is buttressed on either end with pledget and graft. Source: “Long-term integrity of teflon felt-supported suture lines in aortic surgery,” by Strauch et al[9]. Copyright 2005 by Elsevier, reprinted with permission.