title: A modified Bentall procedure in a patient with a displaced left coronary ostium.
abstract: We encountered a 63-year-old female in whom the left coronary ostium was located close to the commissure between the right and left coronary cusps, and performed aortic root replacement leaving the left coronary artery and surrounding the sinus of Valsalva. The sinus of Valsalva, prosthetic valve cuff, and prosthetic vessel were sutured together when the region other than the left coronary artery-containing sinus of Valsalva was sutured. The hemostatic effect of our procedure, which is for cases in which preparation of a coronary button is difficult, was favorable and antegrade coronary arterial blood flow could be maintained.
authors.affiliation: Department of Cardiovascular Surgery, Nagasaki University Hospital, 1-7-1 Sakamoto, Nagasaki, 852-8501, Japan, takashiren@yahoo.co.jp.
authors.forename: Takashi
authors.initials: T
authors.lastname: Miura
authors.forename: Kazuyoshi
authors.initials: K
authors.lastname: Tanigawa
authors.forename: Seiji
authors.initials: S
authors.lastname: Matsukuma
authors.forename: Shogou
authors.initials: S
authors.lastname: Yokose
authors.forename: Koji
authors.initials: K
authors.lastname: Hashizume
authors.forename: Kiyoyuki
authors.initials: K
authors.lastname: Eishi
mesh_terms: D001021:Aortic Valve / Q000473:pathology / Q000601:surgery*; D001022:Aortic Valve Insufficiency / Q000473:pathology / Q000503:physiopathology / Q000601:surgery*; D003330:Coronary Vessel Anomalies / Q000150:complications* / Q000473:pathology / Q000503:physiopathology; D004108:Dilatation, Pathologic / Q000473:pathology / Q000503:physiopathology / Q000601:surgery; D005260:Female; D019918:Heart Valve Prosthesis Implantation / Q000379:methods; D006439:Hemodynamics / Q000502:physiology; D006801:Humans; D008875:Middle Aged; D012850:Sinus of Valsalva / Q000473:pathology / Q000601:surgery
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