In simple words: The surgeon repairs a large blood vessel near the heart with stitches. This is done without using a machine to temporarily take over the heart and lung function.

This procedure involves the surgical repair of the aorta or other major heart vessels using sutures, without employing a shunt or cardiopulmonary bypass. The great vessels include the aorta, pulmonary arteries and veins, and the vena cava. The procedure typically begins with an incision (sternotomy or thoracotomy) to access the damaged vessel. The surgeon may clamp the vessel to control bleeding and then uses sutures to repair the injury. A chest tube may be placed for drainage, and the incision is closed with a sterile dressing.

Example 1: A patient presents with a penetrating chest wound causing injury to the aorta. The surgeon performs a suture repair of the aorta without requiring a shunt or cardiopulmonary bypass., A patient with a small tear in the vena cava undergoes surgical repair with sutures, without the need for a shunt or cardiopulmonary bypass., During a surgical procedure, a small defect is found in the pulmonary artery. The surgeon repairs the defect with sutures without using a shunt or cardiopulmonary bypass.

Documentation should include the operative report detailing the location and extent of the vessel injury, the repair technique, and the reason why a shunt or cardiopulmonary bypass was not necessary. Any intraoperative complications should also be documented.