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.
Kawazoe
K
K
Division of Cardiovascular Surgery, National Cardiovascular Center of Japan, Osaka.
Eishi
K
K
Kawashima
Y
Y
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