title: Use of pericardial strip for reinforcement of proximal anastomosis in Bentall's procedure.
abstract: Bleeding from a proximal suture line is not uncommon following composite graft anastomosis in Bentall's procedure. Passage of valve sutures through the pericardial strip, which is used to encircle the sewing ring of the composite graft, strengthens the repair. The strip can also be sutured to the left ventricular outflow tract in case of bleeding from proximal anastomosis in that particular region.
authors.affiliation: Department of Cardiothoracic and Vascular Surgery, Postgraduation Institute of Medical Research and Education, Sector-12, Chandigarh 160012, India. drprashantis@rediffmail.com
authors.forename: Prashant N
authors.initials: PN
authors.lastname: Mohite
authors.forename: Shyam K
authors.initials: SK
authors.lastname: Thingnam
authors.forename: Samir
authors.initials: S
authors.lastname: Puri
authors.forename: Pravin P
authors.initials: PP
authors.lastname: Kulkarni
mesh_terms: D000714:Anastomosis, Surgical; D001011:Aorta / Q000601:surgery*; D001021:Aortic Valve / Q000601:surgery*; D016063:Blood Loss, Surgical / Q000517:prevention & control*; D019917:Blood Vessel Prosthesis Implantation; D019918:Heart Valve Prosthesis Implantation; D006488:Hemostasis, Surgical / Q000379:methods*; D006801:Humans; D010496:Pericardium / Q000637:transplantation*; D013536:Suture Techniques; D016896:Treatment Outcome