The treatment of recurrent aortic prosthetic detachment with modified Bentall procedure: Results of two cases Chong Zhang, MD, Yiming Ni, MD, Liping.

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The treatment of recurrent aortic prosthetic detachment with modified Bentall procedure: Results of two cases Chong Zhang, MD, Yiming Ni, MD, Liping Shi, MD, Tao Jin, MD The Journal of Thoracic and Cardiovascular Surgery Volume 138, Issue 3, Pages 770-771 (September 2009) DOI: 10.1016/j.jtcvs.2008.05.056 Copyright © 2009 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 The modified Bentall procedure is performed through the following main steps, which are slightly different from those of a standard Bentall operation. A, First, the proximal end of the vascular graft is everted outward and upward for about 1 cm. A mechanical prosthesis is sutured to the free margin of the everted graft with a continuous 3-0 polyester suture to fix the bottom border of prosthesis to the graft. B, Once the anastomosis is completed, the homemade composite conduit is everted and returned to its original position. The composite graft is ready for aortic root replacement. C, The proximal anastomosis is performed with everting 2-0 polyester mattress sutures between the aortic annulus and the proximal free edge. Then the coronary reimplantation and distal anastomosis are performed. The Journal of Thoracic and Cardiovascular Surgery 2009 138, 770-771DOI: (10.1016/j.jtcvs.2008.05.056) Copyright © 2009 The American Association for Thoracic Surgery Terms and Conditions