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Thorac Cardiovasc Surg 2022; 70(08): 684-686
DOI: 10.1055/s-0042-1744263
Short Communication

Safe Technique of Coronary Button Preparation in Redo Bentall Operation

Suguru Ohira 
1   Division of Cardiothoracic Surgery, Department of Surgery, Westchester Medical Center, New York Medical College, Valhalla, New York, United States
,
Ramin Malekan
1   Division of Cardiothoracic Surgery, Department of Surgery, Westchester Medical Center, New York Medical College, Valhalla, New York, United States
,
Masashi Kai
1   Division of Cardiothoracic Surgery, Department of Surgery, Westchester Medical Center, New York Medical College, Valhalla, New York, United States
,
David Spielvogel
1   Division of Cardiothoracic Surgery, Department of Surgery, Westchester Medical Center, New York Medical College, Valhalla, New York, United States
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Abstract

We introduce a technique of coronary button reconstruction in performing a redo Bentall procedure. A coronary button is prepared leaving a 3 to 4 mm rim of old Dacron graft surrounding the previous button. The Dacron rim may be sewn to the new aortic root graft directly or via an interposed 8- or 10-mm graft, using a modified Cabrol technique. If the button is comprised of good tissue and can be well-mobilized, it is removed from the Dacron rim and anastomosed directly to the new Dacron graft.

Keywords

aortic root - root replacement - aortic root replacement


Publication History

Received: 08 December 2021

Accepted: 04 February 2022

Article published online:
19 April 2022

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