A novel technique of coronary reconstruction during complex aortic root replacement.
Many modifications of the Bentall technique have been described since its introduction in 1968. The crucial phases of the operation include the re-establishment of coronary flow and control of intraoperative hemorrhage. Based on their experience with Blalock-Taussig shunts, the proximal take-off of which is at the innominate/right subclavian artery junction, the present authors have developed a novel technique of coronary reconstruction. The details of a new technique of coronary reconstruction to minimize the duration of cardiopulmonary bypass, myocardial ischemia and bleeding, are reported.
Kogon
Brian E
BE
Department of Cardiothoracic Surgery, Emory University, Atlanta, GA, USA. Brian_kogon@emoryhealthcare.org
Jokhadar
Maan
M
Patel
Manisha
M
McConnell
Michael
M
Book
Wendy
W
D001024:Aortic Valve Stenosis / Q000151:congenital / Q000000981:diagnostic imaging / Q000601:surgery*; D016063:Blood Loss, Surgical / Q000517:prevention & control; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects / Q000295:instrumentation; D002315:Cardiopulmonary Bypass; D017023:Coronary Angiography / Q000379:methods; D003331:Coronary Vessels / Q000601:surgery*; D006330:Heart Defects, Congenital / Q000000981:diagnostic imaging / Q000601:surgery*; D006350:Heart Valve Prosthesis; D019918:Heart Valve Prosthesis Implantation / Q000009:adverse effects / Q000295:instrumentation; D006801:Humans; D008297:Male; D011474:Prosthesis Design; D012086:Reoperation; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D055815:Young Adult