title: [From Bentall's operation to its modification by Suzuki: improved technique for replacement of both aortic valve and ascending aorta].
abstract: To improve the result of surgery for replacement of both aortic valve and ascending aorta, we developed a new technique which is characterized as follows. 1) The composite graft is made during surgery according to the operative findings with tilting disc valve and very low porosity woven Dacron graft. 2) Proximal anastomosis is reinforced by double fixation method. 3) Coronary arteries are reimplanted directly into the graft as a Carrel patch. Thirty-four patients underwent this surgery with no operative death. One died in the hospital and 4 died in the late stage unrelated to the surgical technique. We recommend this method as a new standard technique for replacement of both aortic valve and ascending aorta.
authors.affiliation: Department of Cardiothoracic Surgery, Tokyo Medical and Dental University.
authors.forename: J
authors.initials: J
authors.lastname: Amano
authors.forename: A
authors.initials: A
authors.lastname: Suzuki
authors.forename: M
authors.initials: M
authors.lastname: Sunamori
authors.forename: T
authors.initials: T
authors.lastname: Sakamoto
authors.forename: T
authors.initials: T
authors.lastname: Maruyama
authors.forename: H
authors.initials: H
authors.lastname: Tanaka
authors.forename: M
authors.initials: M
authors.lastname: Ohnuki
authors.forename: T
authors.initials: T
authors.lastname: Shirai
mesh_terms: D001011:Aorta / Q000601:surgery*; D001021:Aortic Valve / Q000601:surgery*; D001807:Blood Vessel Prosthesis / Q000379:methods*; D006350:Heart Valve Prosthesis / Q000379:methods*; D006801:Humans