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Book and Media Reviews
August 22/29, 2007

Sutureless Anastomoses: Secrets for Success

Author Affiliations

Book and Media Reviews Section Editor: John L. Zeller, MD, PhD, Contributing Editor.

JAMA. 2007;298(8):926-931. doi:10.1001/jama.298.8.928

More than a century ago, the French-American surgeon Alexis Carrel showed that a reliable vascular anastomosis could be fashioned with nothing more than sutures and precise surgical technique. Carrel's successes involved medium-sized, relatively healthy vessels. But today's cardiovascular surgery has taken on continually greater challenges: smaller vessels, increasingly diseased runoff, restricted access, and older patients with complicating comorbid conditions. Accordingly, the desire has emerged for a faster, more reproducible, and more reliable technique—the sutureless anastomosis.

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