title: A refined flanged Bentall technique using Valsalva tube graft for proximal reinforcement.
abstract: Bleeding from the proximal suture line during aortic root replacement using a composite valve graft is a crucial and catastrophic problem. We present a simple flanged Bentall technique using a Valsalva tube graft to eliminate bleeding from the proximal suture line. The method is to wrap the proximal anastomosis completely by sewing the Valsalva flange to the residual aortic wall. The wrapping is facilitated by the use of part of a horizontally stretching Valsalva graft. This refined technique is effective and reproducible to prevent bleeding from the proximal suture line after the Bentall procedure.
authors.affiliation: Department of Cardiovascular Surgery, Yamanashi Central Hospital, Yamanashi, Japan. hk4cccc-md@yahoo.co.jp
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Koshiyama
authors.forename: Masato
authors.initials: M
authors.lastname: Nakajima
authors.forename: Syunsuke
authors.initials: S
authors.lastname: Amenomori
authors.forename: Koji
authors.initials: K
authors.lastname: Tsuchiya
mesh_terms: D000328:Adult; D000368:Aged; D001011:Aorta / Q000601:surgery*; D001021:Aortic Valve / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D005260:Female; D006350:Heart Valve Prosthesis; D019918:Heart Valve Prosthesis Implantation / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D019106:Postoperative Hemorrhage / Q000517:prevention & control; D012850:Sinus of Valsalva / Q000601:surgery