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Ann Thorac Surg 1999;67:1176-1177
© 1999 The Society of Thoracic Surgeons

How To Do It

Coronary reimplantation in aortic root replacement: a method to avoid tension

Stephen Westaby, FRCSa, Takahiro Katsumata, MD, PhDa, Giuseppe Vaccari, MDa

a Oxford Heart Centre, The John Radcliffe Hospital, Oxford, United Kingdom

Accepted for publication September 15, 1998.

Address reprint requests to Mr Westaby, Department of Cardiac Surgery, Oxford Heart Centre, The John Radcliffe Hospital, Headley Way, Headington, Oxford OX3 9DU, England

We describe a technique to relieve tension on the reimplanted right coronary button during aortic root replacement. A hood is fashioned from autogenous aorta or pericardium to provide a funnel inflow to the coronary ostium. The technique can be used either electively or as a rescue maneuver in the event of right ventricular ischemia.




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