Thorac Cardiovasc Surg
DOI: 10.1055/s-0041-1723080
How to Do It

“Wings of a Butterfly” Technique in Modified Bentall's Procedure

Seok In Lee
1  Department of Thoracic and Cardiovascular Surgery, Gil Medical Center, Gachon University College of Medicine, Incheon, Korea
,
Chang Hyu Choi
1  Department of Thoracic and Cardiovascular Surgery, Gil Medical Center, Gachon University College of Medicine, Incheon, Korea
,
Kook Yang Park
1  Department of Thoracic and Cardiovascular Surgery, Gil Medical Center, Gachon University College of Medicine, Incheon, Korea
,
Chul-Hyun Park
1  Department of Thoracic and Cardiovascular Surgery, Gil Medical Center, Gachon University College of Medicine, Incheon, Korea
› Author Affiliations

Abstract

Many surgeons have modified the technique to reduce bleeding from anastomosis line since Bentall and De Bono introduced aortic root replacement using a composite graft. We present a new composite, butterfly wing–shaped, valve graft fixated using hand-made double sewing cuff. The “wings of a butterfly” technique is a method of reinforcement suturing between an added sewing cuff and residual aortic wall at the proximal stump and helps to reduce bleeding after the modified Bentall's procedure.

Date and Number of Institutional Review Board Approval

The study was approved by the institutional review board on December 24, 2019, and the approval number is GBIRB2019–418.


Disclosure

A previous version of this manuscript was put on the Authorea preprint platform for a different open review process. The manuscript itself was not formally published somewhere else.




Publication History

Received: 06 September 2020

Accepted: 21 December 2020

Publication Date:
19 February 2021 (online)

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