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Thorac Cardiovasc Surg 2022; 70(04): 339-340
DOI: 10.1055/s-0041-1723080
How to Do It

“Wings of a Butterfly” Technique in Modified Bentall's Procedure

Seok In Lee
1   Department of Thoracic and Cardiovascular Surgery, Gil Medical Center, Gachon University College of Medicine, Incheon, Korea
,
Chang Hyu Choi
1   Department of Thoracic and Cardiovascular Surgery, Gil Medical Center, Gachon University College of Medicine, Incheon, Korea
,
Kook Yang Park
1   Department of Thoracic and Cardiovascular Surgery, Gil Medical Center, Gachon University College of Medicine, Incheon, Korea
,
Chul-Hyun Park
1   Department of Thoracic and Cardiovascular Surgery, Gil Medical Center, Gachon University College of Medicine, Incheon, Korea
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Abstract

Many surgeons have modified the technique to reduce bleeding from anastomosis line since Bentall and De Bono introduced aortic root replacement using a composite graft. We present a new composite, butterfly wing–shaped, valve graft fixated using hand-made double sewing cuff. The “wings of a butterfly” technique is a method of reinforcement suturing between an added sewing cuff and residual aortic wall at the proximal stump and helps to reduce bleeding after the modified Bentall's procedure.

Keywords

Bentall's procedure - composite graft - hemostasis

Date and Number of Institutional Review Board Approval

The study was approved by the institutional review board on December 24, 2019, and the approval number is GBIRB2019–418.


Disclosure

A previous version of this manuscript was put on the Authorea preprint platform for a different open review process. The manuscript itself was not formally published somewhere else.




Publication History

Received: 06 September 2020

Accepted: 21 December 2020

Article published online:
19 February 2021

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