Saphenous Vein Patch Plasty to Correct Saphenous Graft and Aortotomy Mismatch

Abstract

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.