Private Pendik Regional Hospital Istanbul, TURKEY

Title: The Eversion Technique for Reinforcement the Suture Line in Aortic Surgery


Dr.Omer ISIK has completed his MD degree at the age of 25 years in 1981 from Hacettepe University and gained his speciality in Thoracic and Cardiovascular Surgery from Kosuyolu Heart and Research Center (Istanbul, Turkey) at 1987 . He became, first vice chief, and than Chief of the Surgery department in the same center in in 1991, and 1992 respectively, until 1997. He gained the “Associate Professor of Thoracic and Cardiovascular Surgery” degree in 1991, and the “Professor of Thoracic and Cardiovascular Surgery” in 1997. He studied as the Staff surgeon, Head of the dept.of Cardiovascular Surgery, Dean, Vice Dean in various University Hospitals, and private hospitals. He is the Director of Cardiovascular Department of the Pendik Regional Hospital in Istanbul. He has more than 100 International publications, and more than 200 speaks in International meetings; 4 Book Chapters. He had been chairman, vice chairman in more than 10 national, and international organizations, and editorial board of more than 15 national and international journals.


Prosthetic graft replacement has been almost the most standard surgical therapy of the aortic aneurysms and/or the dissections. Bleeding from the suture lines is one of the most serious complications in early postoperative period which may lead to re-establishing the cardiopulmonary bypass. At late postoperative period, the ‘pseudoaneurysm’ formation may occur due to this operative procedure. Some preventive techniques have been reported to overcome to those complications such as using strips, pledgeds, inclusion of the prosthetic graft into the aorta or applying of tissue adhesives, etc. But, almost all of them are not free of adverse effects, such as inflammation, infection, and dense adhesions, etc.We have described a new an a novel technique, named “eversion technique” to minimizing the complications of aortic graft replacement. The technique is described simply as everything the native aortic tissue during the anastomosis and so reinforcing the suture line by a fresh and living tissue.We have applied this technique in 42 patients who undergone to ascending aortic replacement for the ascending aortic aneurysm and dissection in a period of 2 years. Those group have been analyzed retrospectively, and the derived data reported. We haven’t seen any complication due to the operation in-general and due to the described technique itself.The “Eversion Technique” in aortic surgery is a simple, reliable, and reproducible technique to reduce the complications of the aortic prosthetic graft replacement.