Evaluation of the Distal Anastamosis – A Novel Scoring System. - The 65th Annual Conference of the Israel Heart Society & The Israel Society of Cardiothoracic Surgery, 24-25 April 2018

James Moon Cardiac Surgery, The Madras Medical Mission, Chennai, Tamilnadu, India Sheba Jacob Pathology, Apollo Hospitals, Chennai, Tamilnadu, India Adrian Jamesraj Jacob Student, Pondicherry Institute of Medical Sciences, Pondicherry, Pondicherry, India Benjamin Ninan Cardiac Surgery, The Madras Medical Mission, Chennai, Tamilnadu, India

Evaluating one’s own distal anastamosis is indispensible not only for the trainee but also the mature coronary surgeon. It provides insight into its betterment at all stages of one’s surgical career. We devised a scoring system that would enable introspection after a practice anastamosis in a wetlab on a bovine heart with a omental vessel for a conduit. The scoring system has three parts with three components in each. Performance – 1. Organisation, 2. Kinetics, 3. Coordination, Finished anastamosis assessed from the outside – 4. Shape, 5. Lips, 6. Leaks, Internal view – 7. Regularity of sutures, 8. Tissue protrution, 9. Lumen distortion. This is a reverse scoring system with 100 alotted points from which points are substracted for imperfections. A systematic analysis of the anastamosis provides insight for improvement.