Their medial walls are anastomosed
together and the free edges of the newly conjoined ureters are then anastomosed
to the proximal end of an open bowel segment.
What makes this case interesting is that left internal mammarian artery (LIMA) was anastomosed
to the left anterior descending artery (LAD); furthermore, the proximal anastomoses of the arterial grafts belonging to the circumflex (CX) and the right coronary arteries (RCA) were anastomosed
to LIMA using the composite T-grafting technique.
Most often, the donor hepatic artery is anastomosed
in an end-to-end fashion to the recipient hepatic artery or between the donor celiac axis and bifurcation points (right and left hepatic or GDA and PHA) of the recipient.
The recipient operation is similar to that of implantation of a cadaveric split left graft; the inferior vena cava (IVC) is preserved, the left hepatic vein is anastomosed
to the recipient IVC, and the left portal vein of the graft is anastomosed
to the main portal vein in the recipient.
We created a new bladder for the patient using 40 centimetres of his small intestine anastomosed
in one side to the ureters and distally to the urethra.
The segment is removed, along with its vascular pedicle, and the ends of the remaining jejunum approximated and anastomosed
Same-donor iliac "Y" vessel allografts were anastomosed
to the donor superior mesenteric artery and splenic artery of the pancreas allograft in an end-to-end fashion.
The former usually anastomosed
with the sulcal branch of RCA while the later extended downwards on the posterior surface of the left ventricle.
The long thoracic nerve is anastomosed
to the larger segment of the facial nerve.
In a typical histologic picture, there are wide vascular spaces and systems of anastomosed
vessel canals lined with atypical endothelium, with marked sarcomatous stroma (17-20).
Drilling confirmed the presence of an anastomosed
system of gold-quartz veins over a thickness of more than 50 m.
3) After complete anastomosis between the coronal penile skin and the ventral scrotal flap, an additional inverted V-design was made 1 cm below the midline-ventral portion of the anastomosed
coronal skin-scrotal flap to prepare the scrotal flap to cover the ventral penis after measurement of the penile circumference.