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| 17F-285 | Video session발표 |
Modified Bio-bentall Procedure : The French Cuff Technique
Sang-Ho Cho¹, Dae Hyun Kim¹, Young Tae Kwak¹, Joo-Chul Park¹, Hyo Chul Yoon², Soo-Cheol Kim², Bum-Sik Kim²
¹Department of Thoracic and Cardiovascular Surgery, Kyung Hee University Hospital at Gangdong, Kyung Hee University College of Medicine, Seoul, Republic of Korea., ²Department of Thoracic and Cardiovascular Surgery, Kyung Hee University Hospital, Kyung Hee University College of Medicine, Seoul, Republic of Korea
Purpose : Modified bio-Bentall procedure could be extremely beneficial for all patients requiring a classical Bentall procedure, but with specific indications for a biological valve. Several modified techniques using self-assembled composite graft with biological valve have been developed.
We report a case of bio-Bentall procedure of the French cuff technique.
Methods : A 68 year-old man was referred to our hospital for surgical management of aortic root aneurysm. Echocardiography revealed an enlarged sinus of Valsalva 54 mm in diameter. Severe aortic regurgitation was eccentric with right coronary cusp prolapse.
Results : Bio-Bentall procedure was performed with 32 mm Gelweave Valsalva™ graft and 25mm C-E Perimount Magna valve. The proximal cuff was folded back over the outside of Valsalva portion of the graft to make a double cuff, and then the prosthetic valve was positioned inside of the Valsalva graft. The annular sutures were passed through the sewing ring of the prosthesis first and then through the folded proximal edge of the Valsalva graft. After the implantation of the prosthesis, the second hemostatic suture was performed. The postoperative course was uneventful and he was discharged from the hospital on postoperative day 9.
Conclusion : The two most widely used techniques of biological Bentall procedure are the French cuff technique and the double sewing ring technique. Both techniques appeared to have their individual merits. The French cuff technique simplified the procedure and might ensure more stable hemostasis by double cuff reinforcement of the annular sutures, coverage of the stitches with cuff edge, and the second hemostatic layer suture.
We report a case of bio-Bentall procedure of the French cuff technique.
Methods : A 68 year-old man was referred to our hospital for surgical management of aortic root aneurysm. Echocardiography revealed an enlarged sinus of Valsalva 54 mm in diameter. Severe aortic regurgitation was eccentric with right coronary cusp prolapse.
Results : Bio-Bentall procedure was performed with 32 mm Gelweave Valsalva™ graft and 25mm C-E Perimount Magna valve. The proximal cuff was folded back over the outside of Valsalva portion of the graft to make a double cuff, and then the prosthetic valve was positioned inside of the Valsalva graft. The annular sutures were passed through the sewing ring of the prosthesis first and then through the folded proximal edge of the Valsalva graft. After the implantation of the prosthesis, the second hemostatic suture was performed. The postoperative course was uneventful and he was discharged from the hospital on postoperative day 9.
Conclusion : The two most widely used techniques of biological Bentall procedure are the French cuff technique and the double sewing ring technique. Both techniques appeared to have their individual merits. The French cuff technique simplified the procedure and might ensure more stable hemostasis by double cuff reinforcement of the annular sutures, coverage of the stitches with cuff edge, and the second hemostatic layer suture.
책임저자: Sang-Ho Cho
Department of Thoracic and Cardiovascular Surgery, Kyung Hee University Hospital at Gangdong, Kyung Hee University College of Medicine, Seoul, Republic of Korea
발표자: Sang-Ho Cho, E-mail : sinan75@khnmc.or.kr