Alternative to the bentall procedure for elderly patients with aortic root aneurysms.
We describe an alternative technique to the Bentall procedure for elderly patients with aortic root aneurysms. It is the subcoronary implantation of a Freestyle (Medtronic, Minneapolis, MN) aortic bioprosthesis with interposition of a graft material between the upper part of the Freestyle bioprosthesis and the distal aorta. The technique described avoids the proximal anastomosis of the graft and avoids the coronary reimplantations of the Bentall procedure which are still a potential risk of bleeding particularly in elderly patients.
Department of Adult Cardiac Surgery, Centre Chirurgical Marie Lannelongue, Le Plessis Robinson, France.
Olivier M
OM
Bical
Philippe
P
Deleuze
D058186:Acute Kidney Injury / Q000453:epidemiology; D000369:Aged, 80 and over; D001011:Aorta / Q000601:surgery*; D001014:Aortic Aneurysm / Q000453:epidemiology / Q000601:surgery*; D001021:Aortic Valve / Q000601:surgery; D050197:Atherosclerosis; D001281:Atrial Fibrillation / Q000453:epidemiology; D054537:Atrioventricular Block / Q000453:epidemiology; D001705:Bioprosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D002198:Capillary Fragility; D015897:Comorbidity; D005260:Female; D019918:Heart Valve Prosthesis Implantation / Q000379:methods; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000453:epidemiology; D011014:Pneumonia / Q000453:epidemiology; D012306:Risk