PDF herunterladen
Thorac Cardiovasc Surg 2022; 70(04): 339-340
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
› Institutsangaben
› Weitere Informationen
    Lizenzen und Reprints Alle Artikel dieser Rubrik

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.

Keywords

Bentall's procedure - composite graft - hemostasis

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.




Publikationsverlauf

Eingereicht: 06. September 2020

Angenommen: 21. Dezember 2020

Artikel online veröffentlicht:
19. Februar 2021

© 2021. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

  • References

  • 1 Bentall H, De Bono A. A technique for complete replacement of the ascending aorta. Thorax 1968; 23: 338-339
    CrossrefPubMedGoogle Scholar
  • 2 Bayfield MS, Kron IL. Reducing bleeding after replacement of the aortic root. Ann Thorac Surg 1995; 60 (04) 1130-1131
    CrossrefPubMedGoogle Scholar
  • 3 Yakut C. A new modified Bentall procedure: the flanged technique. Ann Thorac Surg 2001; 71 (06) 2050-2052
    CrossrefPubMedGoogle Scholar
  • 4 Rousou JA, Alameddine AK, Yang C. A “double overlap” suture technique for the proximal attachment of a composite graft to the aortic annulus. Ann Thorac Surg 2007; 83 (05) 1906-1907
    CrossrefPubMedGoogle Scholar
  • 5 Chen LW, Dai XF, Wu XJ. A modified composite valve Dacron graft for prevention of postoperative bleeding from the proximal anastomosis after Bentall procedure. Ann Thorac Surg 2009; 88 (05) 1705-1707
    CrossrefPubMedGoogle Scholar
  • 6 Mohite PN, Thingnam SK, Puri S, Kulkarni PP. Use of pericardial strip for reinforcement of proximal anastomosis in Bentall's procedure. Interact Cardiovasc Thorac Surg 2010; 11 (05) 527-528
    CrossrefPubMedGoogle Scholar