The Completion Bentall Procedure

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The Completion Bentall Procedure Ramin Malekan, MD, David Spielvogel, MD, Paul C. Saunders, MD, Steven L. Lansman, MD, PhD, Randall B. Griepp, MD The Annals of Thoracic Surgery Volume 92, Issue 1, Pages 362-363 (July 2011) DOI: 10.1016/j.athoracsur.2011.02.078 Copyright © 2011 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Completion Bentall procedure. (A) Aortic root aneurysm with normally functioning mechanical aortic valve prosthesis. (B) With the aneurysm resected, and with normal valve function confirmed, the root is mobilized and “buttons” are fashioned containing the coronary ostia. (C) A graft is sutured to the valve cuff with three 2-0 polypropylene sutures, including the valve sewing cuff and the aortic remnant with each pass of the suture. (D) With the graft secured in position, the coronary buttons and distal anastomosis are constructed. (E) Completion Bentall procedure using a Valsalva graft. The Annals of Thoracic Surgery 2011 92, 362-363DOI: (10.1016/j.athoracsur.2011.02.078) Copyright © 2011 The Society of Thoracic Surgeons Terms and Conditions