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Ann Thorac Surg 1993;56:383-384
© 1993 The Society of Thoracic Surgeons

Articles

Technical modification for anastomosis of low-lying coronary ostia in Bentall procedure

Jean Yves Neveux, MD*, Patrice Dervanian, MD, Thierry A. Folliguet, MD, Loïc Macé, MD, Vladimir Guluta, MD

Department of Cardiovascular and Pediatric Cardiac Surgery, Marie Lannelongue Hospital, and Paris Sud University, Paris, France

Accepted for publication March 31, 1993.

* Address reprint requests to Dr Neveux, Departement de Chirurgie Cardiovasculaire et Cardiaque Pédiatrique, Hôpital Marie Lannelongue, 133 ave de la Résistance, 92350 Le Plessis Robinson, France.

Bentall procedure is not advisable when the origins of the coronary artery ostia cannot reach the composite valve graft at a satisfactory level for direct reimplantation. The other alternatives to coronary artery ostia reimplantation have some disadvantages. A technical modification of the Bentall procedure, successfully used in 3 patients and allowing direct coronary reimplantation without any tension on the suture line, is described.




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