The left atrium of the donor heart was first attached to the patient's left atrium by anastomosing
the opening in the posterior wall of the donor's left atrium to the left atrial wall and septum of the patient's heart.
No interconnecting or anastomosing
blood vessel was seen.
The differential diagnosis includes Masson vegetant or papillary endothelial hyperplasia (a reactive endothelial proliferation associated with organizing thrombus/clot); Kimura disease (lymph node disorder, most often in Asian men, who have peripheral serum eosinophilia, reactive lymphoid follicles, follicular lysis, eosinophilic microabscesses, polykaryocytes, and IgE deposition); and angiosarcoma (freely anastomosing
vessels, atypical endothelial cells, increased mitoses, necrosis).
The steps were as follows: (1) Deploying the frozen elephant trunk out of the body; (2) anastomosing
the graft and the frozen elephant trunk together (hybrid graft); (3) trimming a hollow graft patch; (4) suturing the graft patch at the joint of the hybrid graft; and (5) binding the frozen elephant trunk as previously mentioned [Figure 1]a.
Venous drainage following replantation is vital to the success of surgery and is achieved by anastomosing
the dorsal veins of the penis.
Then it ascends at the lateral border of the uterus, gives several branches to uterus and ultimately ends by anastomosing
with branches of ovarian artery near the cornu of the uterus.
Microscopically, it shows two or three cell thick anastomosing
strands of basaloid or squamous cells ending in small nubbins of peripherally palisaded cells.
In this series, we report 4 cases of clear cell renal cell carcinoma that were paucicellular for carcinoma cells associated with an unusual microvasculature pattern mimicking anastomosing
1 It is characterized by proliferation of stromal spindle cells with an intervening network of complex anastomosing
channels lined by slender spindle cells.
An in-situ right IMA can be used by anastomosing
it with the left anterior descending coronary artery (LAD) and its diagonal branch along the front of the ascending aorta or to the obtuse marginal artery through the transverse sinus.
The facial artery, transverse facial vessel and the internal maxillary artery as well as their anastomosing
branches enter the fat tissue and form a lobar subcapsular vascular plexus by anastomosing
with each other.
So, primary wound suture or anastomosing
can be done practically in any types of small and large intestines' injuries maintaining definite rules of applying sutures and providing the blood supply adequacy.