Modification of the Bentall operation using the proximal double sewing technique without excision of leaflets

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• 作者：Toshihiko Shibata (1)
  Kazushige Inoue (2)
  Takeshi Ikuta (2)
  Yoshiteru Yoshioka (2)
  Yasuyuki Bito (2)
  Hiroki Mizokuchi (2)
  
• 关键词：Bentall operation ; Proximal anastomosis ; Composite graft
• 刊名：General Thoracic and Cardiovascular Surgery
• 出版年：2008
• 出版时间：August 2008
• 年：2008
• 卷：56
• 期：8
• 页码：434-436
• 全文大小：312KB
• 参考文献：1. Michielon G, Salvador L, Da Col U, Valfre C. Modified button-Bental operation for aortc root replacement: the miniskirt technique. Ann Thorac Surg 2001;72:S1059鈥揝1064. CrossRef
  2. Copeland III JG, Rosado LJ, Snyder SL. New technique for improving hemostasis in aortic root replacement with composite graft. Ann Thorac Surg 1993;55:1027鈥?029. CrossRef
  3. Song MH, Tokuda Y, Ueda Y. A novel method for proximal suturing of Carbo-Seal: aorta folded-over technique. Gen Thorac Cardiovasc Surg 2007;55:270鈥?71. CrossRef
  4. Srivastava AK, Pandey S, Kapoor A. Pericardial reinforcement for hemostasis in aortic aneurysm surgery. Asian Cardiovasc Thorac Ann 2000;8:70鈥?2.
  5. Yakut C. A new modified Bentall procedure: the flanged techique. Ann Thorac Surg 2001;71:2050鈥?052. CrossRef
  6. Svensson LG. Approach for insertion of aortic composite valve grafts. Ann Thorac Surg 1992;54:376鈥?78.
  
• 作者单位：Toshihiko Shibata (1)
  Kazushige Inoue (2)
  Takeshi Ikuta (2)
  Yoshiteru Yoshioka (2)
  Yasuyuki Bito (2)
  Hiroki Mizokuchi (2)
  
  1. Department of Cardiovascular Surgery, Osaka City General Hospital, 2-13-22 Miyakojima-hondori, Miyakojima, Osaka, 534-0021, Japan
  2. Department of Cardiovascular Surgery, Kansai Rosai Hospital, Hyogo, Japan
  

文摘

We present a report on reinforcement of the proximal anastomosis during the Bentall operation. The aortic wall was excised with a 5-mm remnant, and aortic valve leaflets were preserved. Interrupted horizontal mattress sutures (2-0 Polyestel) reinforced with pledgets were placed. The composite graft was placed at the intraannular position inside of the preserved leaflets. The aortic valve leaflets were then pasted to the sewing cuff with fibrin glue. A running suture with 4-0 monofilament was placed between the remnant of the aortic wall and the peripheral side of the sewing cuff wrapped with native aortic valve leaflets.