CC-BY-NC-ND 4.0 · J Card Crit Care 2017; 01(01): 051-054
DOI: 10.1055/s-0037-1606350
Surgical Technique
Official Publication of The Simulation Society (TSS), accredited by International Society of Cardiovascular Ultrasound (ISCU)

An Alternative Technique of Coronary Button Implantation in Patients Undergoing Modified Bentall's Procedure

Ujjwal Kumar Chowdhury1, Keerthi Rao1, Rajiv Narang2, Poonam Malhotra Kapoor3, Minati Choudhury3, Arindam Choudhury3, Pradeep Ramakrishnan1
  • 1Department of Cardiothoracic Surgery, All India Institute of Medical Sciences, New Delhi
  • 2Department of Cardiology, All India Institute of Medical Sciences, New Delhi
  • 3Department of Anaesthesia, All India Institute of Medical Sciences, New Delhi
Further Information

Publication History

Publication Date:
29 September 2017 (online)

Abstract

We present two modifications of the “button technique” and proximal aortic conduit suturing for patients undergoing modified Bentall's procedure. We interposed a glutaraldehyde-treated autologous pericardial strip between the graft and native coronary ostia during coronary ostial implantation and placed interrupted aortic annular pledgeted mattress sutures to ensure perfect hemostasis at the suture lines.