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Ann Thorac Surg 1976;22:593-595
© 1976 The Society of Thoracic Surgeons


Articles

Method for Replacement of the Ascending Aorta and Aortic Valve with Reimplantation of the Coronary Arteries

Nicholas P. Rossi, M.D.*, Edward A. Rittenhouse, M.D.

From the Division of Thoracic and Cardiovascular Surgery, Department of Surgery, University of Iowa Hospitals and Clinics, Iowa City, IA

Accepted for publication March 4, 1976.

* Address reprint requests to Dr. Rossi, Division of Thoracic and Cardiovascular Surgery, Department of Surgery, University of Iowa Hospitals and Clinics, Iowa City, IA 52242

A method for replacing the entire ascending aorta and aortic valve is described that employs direct anastomosis of the coronary ostia to the graft, facilitated by appropriately timed periods of hypothermic ischemic cardiac arrest. The advantages of this technique are that proper placement of sutures around the coronary ostia is simplified and that hemostasis at the aortic annulus and coronary anastomosis can be evaluated before the aortic clamp is removed and suture lines become inaccessible.




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Copyright © 1976 by The Society of Thoracic Surgeons.