New modified Bentall procedure: Carrel patch and inclusion technique.
In Bentall-type procedures, the bleeding and dehiscence occurring around the coronary ostial anastomosis still remain major complications. To reinforce the coronary anastomosis and shorten the time required for hemostasis, a Carrel patch and inclusion technique was employed without any subsequent complications in 13 patients. We excised the coronary ostium with a collar of the aortic wall while leaving epicardium on the aortic wall, anastomosed it to the composite graft, and then included the graft with the aortic wall.
Division of Cardiovascular Surgery, National Cardiovascular Center of Japan, Osaka.
K
K
Kawazoe
K
K
Eishi
Y
Y
Kawashima
D000714:Anastomosis, Surgical / Q000379:methods; D001011:Aorta / Q000601:surgery*; D001014:Aortic Aneurysm / Q000150:complications / Q000601:surgery*; D001022:Aortic Valve Insufficiency / Q000150:complications / Q000601:surgery*; D003331:Coronary Vessels / Q000601:surgery*; D006801:Humans; D019736:Prostheses and Implants; D013536:Suture Techniques