Modified Bentall operation with concomitant total aortic arch replacement for DeBakey type I aortic dissection: report of a case.
The successful implementation of a reoperative Bentall procedure with concomitant total aortic arch replacement after ascending aortic replacement for acute aortic dissection is infrequently reported. We performed a modified Bentall procedure with total replacement of the aortic arch in a patient suffering from worsening aortic regurgitation (AR) and residual dissection. Our strategy involved the button method for coronary reconstruction, selective cerebral perfusion, the use of a composite graft with four branches for aortic arch replacement, and the administration of high-dose aprotinin to decrease bleeding.
Katoh
T
T
First Department of Surgery, Yamaguchi University School of Medicine, Ube, Japan.
Esato
K
K
Mikamo
A
A
Suzuki
K
K
Gohra
H
H
Hamano
K
K
Fujimura
Y
Y
Tsuboi
H
H
D000208:Acute Disease; D000784:Aortic Dissection / Q000150:complications / Q000601:surgery*; D001013:Aorta, Thoracic / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000150:complications / Q000601:surgery*; D001022:Aortic Valve Insufficiency / Q000150:complications / Q000601:surgery; D001807:Blood Vessel Prosthesis; D005260:Female; D006350:Heart Valve Prosthesis; D006801:Humans; D008875:Middle Aged; D012086:Reoperation; D014656:Vascular Surgical Procedures / Q000379:methods