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Ann Thorac Surg 1993;55:1578-1579
© 1993 The Society of Thoracic Surgeons

Articles

New modified bentall procedure: Carrel patch and inclusion technique

Kouhei Kawazoe, MD, Kiyoyuki Eishi, MD*, Yasunaru Kawashima, MD

Division of Cardiovascular Surgery, National Cardiovascular Center of Japan, Osaka, Japan

Accepted for publication February 22, 1993.

* Address reprint requests to Dr Eishi, Division of Cardiovascular Surgery, National Cardiovascular Center of Japan, 5-7-1 Fujishiro-dai, Suita, Osaka 565, Japan.

In Bentall-type procedures, the bleeding and dehiscence occurring around the coronary ostial anastomosis still remain major complications. To reinforce the coronary anastomosis and shorten the time required for homostasis, a Carrel patch and inclusion technique was employed without any subsequent complications in 13 patients. We excised the coronary ostium with a collar of the aortic wall while leaving epicardium on the aortic wall, anastomosed it to the composite graft, and then included the graft with the aortic wall.




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