The Annals of Thoracic Surgery, Vol 22, 593-595, Copyright © 1976 by The Society of Thoracic Surgeons
Method for replacement of the ascending aorta and aortic valve with reimplantation of the coronary arteries
NP Rossi and EA Rittenhouse
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 time 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.