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A vein holder for vascular surgery is described. Distal (direct or sequential) as well as proximal anastomoses in aorto-coronary bypass surgery can be easily performed with that instrument. It minimizes handling of the graft and provides an excellent visualization in placing sutures in half of the circumference at both ends of the venous graft.

Our experience with the emergency surgical treatment of 19 consecutive cases of infective endocarditis (IE) is reported. The aortic valve was always affected, either alone (n = 16) or together with the mitral valve (n = 3). All patients were male. In 10 cases it was possible to identify the infecting agent (a staphylococcus was found in 6). Congestive heart failure (CHF) was the principal indication for surgery in 14 cases (in 6 active IE was associated). Five patients (1 with CHF) underwent operative treatment because of systemic emboli. Fifteen patients were in New York Heart Association (NYHA) functional class IV, 3 in class III and 1 was in class II. Two patients (10.5%), both operated on for CHF, died in the early postoperative period. Early prosthetic valve dehiscence occurred in 2 cases, reoperation was successful in both. Follow-up of operative survivors ranges between 7 and 108 months (mean = 53.24 +/- 41.89). One patients died 10 months after operation with CHF following late prosthetic dehiscence. Out of 16 currently surviving patients 14 are in NHYA functional class I, 1 is in class II and 1 in class III. No one of them has had relapse of IE.

A case of massive epicardial lipoma in an asymptomatic patient is presented. The diagnosis of solid intrapericardial mass was achieved by two-dimensional echocardiography without cardiac catheterization. The complications of postoperative course, which included myocardial infarction, cerebral embolism, and the patient's late sudden death, suggest that the cardiopulmonary bypass should be used in similar circumstances. Lipomas of the heart should be kept in mind in patients with unexplained enlargement of the cardiac silhouette whenever pericardial effusion and heart disease may be excluded.

A 30-year-old man had a spasm of the anterior descending coronary artery and received a bypass graft. The spasm which caused several cardiac arrests was relieved by intracoronary injection of nitrates and verapamil. The patient was discharged 13 days after surgery, receiving nitrates and calcium antagonists. Four months after operation he remains asymptomatic.

The Authors describe a study performed on a sample of 88 saphenous veins used as aorto-coronary bypass grafts. The patients underwent surgery in the Department of Cardiovascular Surgery of Ancona from Jan. 1981 to Dec. 1984. The morphological analysis (light and electron microscope) was conducted with a comparative method between two surgical techniques (ST). The first refers (Group I) to 1981-82, the second (Group II) to 1983-84. In Group I the veins were taken with a conventional surgical technique. In Group II the ST was performed using an atraumatic procedure, topic vasodilators, distension of the vein with autologous blood and driving pressure less than 150 mmHg, and storage of the vein in blood at room temperature. The results show that in Group II there is better preservation of the endothelial venous layer. The distending pressure of the venous graft (less than 150 mmHg) and prevention of venous spasm were statistically relevant (p less than 0.05). The AA. conclude that vein graft damage during surgery can be avoided by means of the following procedures: dissection of the vein with atraumatic technique; prevention of venous spasm with topic vasodilators; distension of the vein at pressure less than 150 mmHg.