TissueDB/Materials/Grapefruit
Grapefruit (Citrus × paradisi) is a citrus fruit whose rind, pith, thin inner covering and flesh provide different anatomical analogues in neurovascular bypass simulation. In the Cikla et al. 2020 distal anterior cerebral artery (dACA) side-to-side bypass trainer, a large grapefruit (12–15 cm diameter) is prepared with two longitudinal pole-to-pole rind incisions, demarcating approximately one-fifth of the fruit surface area; one strip is removed and the natural groove between sections is bluntly dissected to simulate the interhemispheric fissure.[1]
The central column provides the path for separately inserted vessel substitutes; the grapefruit itself is not the vessel used for the anastomosis.[1] The reported pith-to-central-column interior distance (mean 36.8±2.6 mm, n=20) approximates cadaveric brain cortex-to-corpus-callosum depth at the genu and at the level of the foramen of Monro. The study found different depths at the corpus-callosum midpoint and splenium.[1]
Tissues
| Tissue | Visual | Tactile | Simulator | Notes |
|---|---|---|---|---|
| Skin | Grapefruit dACA Bypass Simulator | The grapefruit rind and pith represent skin and subcutaneous tissue together.[1] | ||
| Subcutaneous tissue | Grapefruit dACA Bypass Simulator | The grapefruit rind and pith represent skin and subcutaneous tissue together.[1] | ||
| Arachnoid mater and pia mater | Grapefruit dACA Bypass Simulator | The thin skin/pith covering over the grapefruit flesh represents both membranes.[1] | ||
| Brain | Grapefruit dACA Bypass Simulator | The flesh represents cerebral cortex and each fruit section represents a cerebral hemisphere. Retraction separates the sections; tearing the flesh represents cortical injury.[1] |
Troubleshooting
- Grapefruit size varies, which can affect how closely its dimensions match the surgical anatomy.[1]
- Wash surgical instruments immediately after each simulation; acidic grapefruit juice can corrode them.[1]
References
| Authors | Arturopelayo |
|---|---|
| License | CC-BY-SA-4.0 |
| Cite as | Arturopelayo (2026). "TissueDB/Materials/Grapefruit". Appropedia. Retrieved October 3, 2026. |