**3.4 Consideration of Heartstring technology**

• Surgeons should be properly trained before using the Heartstring proximal anastomosis system.

**265**

in the aorta.

*3.5.1 Advantages*

**Figure 4.**

are as follows:

*Management of Ascending Aorta Calcification in Coronary Artery Bypass Grafting*

• Do not use the Heartstring proximal anastomotic system in the aorta that cannot be partially clamped, to prevent patients from being at risk from bleeding.

*Place the Heartstring proximal anastomotic device into the aortic incision and extract the conveyor.*

• To ensure effective hemostasis, make sure that the anastomoses are at least

• Check the unit to guarantee that it is not damaged during transportation.

• Aortic perforator should only be used on the unmodified aortic tissue. Use on altered tissue, such as the presence of a cardiologic orifice and/or an aortotomy incision, may result in an unblocked aortic incision and the embolus may enter

Heartstring is also a proximal anastomotic device that can effectively reduce the probability of aortic atherosclerotic plaque shedding or dissection. Its advantages

• Low requirements for anastomotic area. A relatively healthy area with a diameter of around 1 cm available for suture will be sufficient, especially for those

• Heartstring is easy to operate and does not need to be punched or sutured in

1.5 cm apart before performing multiple anastomoses.

**3.5 Advantages and limitations of Heartstring technology**

with multiple plaques in the ascending aorta.

other positions of the ascending aorta.

*DOI: http://dx.doi.org/10.5772/intechopen.91909*

• For disposable use. Do not re-sterilize.

*Management of Ascending Aorta Calcification in Coronary Artery Bypass Grafting DOI: http://dx.doi.org/10.5772/intechopen.91909*

**Figure 4.** *Place the Heartstring proximal anastomotic device into the aortic incision and extract the conveyor.*

