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The Annals of Thoracic Surgery, Vol 53, 1125-1126, Copyright © 1992 by The Society of Thoracic Surgeons
AT Miyamoto
Composite graft replacement of the aortic root and valve poses the
challenge of reimplanting both coronary ostia. The technique of sandwiching
the freed button of aortic wall bearing the coronary artery ostium between
an outer Teflon felt washerlike buttress and the inner composite graft
provides a leak-proof anastomosis while reestablishing direct graft to
coronary artery continuity regardless of the location of the coronary ostia
or type of root pathology.
ARTICLES
Technique for replacing the ascending aorta and aortic valve with a modified Bentall's operation
Department of Cardiovascular Surgery, Kokura Memorial Hospital, Kitakyushu, Japan.
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