it is difficult to reconstruct an alar defect with cartilage involvement. here in the authors report a case of traumatic alar loss during childhood in which an alar reconstruction was carried out with a composite auricular graft put over the pedicle buccal flap which was rotated and passed through the intraoral side. the lining skin and auricular cartilage for the flap was obtained from the aur...

OBJECTIVE Review of surgical repair of aortic root aneurysms using composite graft or homograft in children. METHODS A consecutive series of 34 children (mean age 10.8+/-5.4 years) who underwent elective aortic root replacement using composite graft or homograft from 1987 to 2003 (mean follow-up 5.7+/-3.7 years). RESULTS Preoperatively, the aortic annulus and aortic root average z-scores we...

background the ala of the nose, with its particular texture and characteristics, poses both aesthetically and functionally intriguing challenges and is rather problematic regarding choices for reconstructive methods. both flaps and grafts have been used to restore natural structure of nasal ala. the present study summarizes a ten-year experience of reconstructive surgery using small composite g...

PURPOSE Use of a composite graft combining a polytetrafluoroethylene graft with an autogenous vein is an option for limb salvage in the absence of an adequate single segment vein graft. We aimed to investigate the results of infrainguinal bypass with a composite graft. MATERIALS AND METHODS We retrospectively reviewed 11 infrainguinal arterial bypasses on 11 limbs which underwent surgery from...

This study presents an analytical investigation into the mechanical behavior of a cartilage-polydioxanone (PDS) plate composite grafts. Numerical methods are used to provide a first-order, numerical model of the flexural stiffness of a cartilage-PDS graft. Flexural stiffness is a measure of resistance to bending and is inversely related to the amount of deformation a structure may experience wh...

Bone marrow-derived cells including osteoblastic progenitors can be concentrated rapidly from bone marrow aspirates using the surface of selected implantable matrices for selective cell attachment. Concentration of cells in this way to produce an enriched cellular composite graft improves graft efficacy. The current study was designed to test the hypothesis that the biologic milieu of a bone ma...

The excision and replacement of a failed aortic valve bioprosthesis in a composite tubular graft in two patients with Marfan syndrome was accomplished without replacing the composite graft.

BACKGROUND Total arterial coronary revascularization can be achieved by joining arteries together as a composite graft with the proximal left internal mammary artery as the only source of blood inflow. Proof of the capacity of this composite conduit to provide adequate blood flow to the coronary circulation is required. METHODS The radial artery was anastomosed to the left internal mammary ar...

Methods A 66-year-old man was admitted to our hospital on November 11, 2012. He had a painful, pulseless, and cold below-knee in right lower extremity. He had previous right cross-over composite sequential femoropopliteal bypass. Angiography showed acute occlusion of cross-over composite femoro-popliteal bypass graft and stent graft used in treatment of pseudoaneurysm developing in popliteal an...

a 32-year-old female patient with previous bentall operation and mitral valve repair surgery due to severe aortic insufficiency, mitral valve insufficiency, and ascending aortic aneurysm was admitted to our hospital with serious dyspnea, fatigue, and mild chest pain. two-dimensional echocardiography demonstrated a markedly dilated basal aorta and cardiac chambers. thoracic computed tomography s...