A technique for coronary artery reimplantation in composite aortic root replacement.
Currently, three techniques are used for reimplantation of coronary arteries following the insertion of a composite aortic valve graft: Bentall, aortic button, and Cabral interposition graft. We have utilized an alternative technique based on the creation of an inverted U-shaped flap, which is then reflected and sutured to an appropriately sized coronary button. The technique is simple, obviates the needs for coronary mobilization, and assures a tension-free anastomosis and accessible suture line.
Department of Cardiothoracic Surgery, Royal Victoria Hospital, Belfast, Northern Ireland.
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MA
Sarsam
D000714:Anastomosis, Surgical / Q000379:methods; D001021:Aortic Valve / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D003331:Coronary Vessels / Q000601:surgery*; D006801:Humans; D011093:Polyethylene Terephthalates; D012092:Replantation / Q000379:methods*; D013536:Suture Techniques
D011093:Polyethylene Terephthalates