Document Detail


Bentall procedures with a novel valved conduit incorporating "sinuses of Valsalva".
MedLine Citation:
PMID:  15455326     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The Bentall operation is preferred when a diseased aortic valve is associated with a dilated or dissected ascending aorta. Composite valved grafts have been devised to facilitate and expedite this procedure. The initial clinical results of the Bentall procedure using a vascular conduit modified to incorporate "pseudosinuses of Valsalva," with the aim of simplifying coronary button anastomoses and decreasing tension upon them, is described herein. Over a period of 40 months since its introduction, the novel conduit has been used, for a Bentall procedure in 37 consecutive patients. Of this group, 31 were men and 6 were women, with a mean age of 63.8+/-9.9 years. Five were Marfan patients, 8 were patients after acute or chronic dissection, and 8 were patients who required redo procedures. In 22 patients, the modified conduit was used in association with a biological valve (4 stentless valve) and in 15, with a mechanical valve. The mean durations of CPB and X-clamp time were 117+/-32 and 88+/-22 minutes, respectively. No operative or late deaths occurred after a mean follow-up period of 20+/-12 months. This study indicates that the new vascular prosthesis appears to facilitate implantation by maintaining a more natural shape of the reconstructed aortic root.
Authors:
Ruggero De Paulis; Carlo Bassano; Raffaele Scaffa; Paolo Nardi; Fabio Bertoldo; Luigi Chiariello
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Surgical technology international     Volume:  12     ISSN:  1090-3941     ISO Abbreviation:  Surg Technol Int     Publication Date:  2004  
Date Detail:
Created Date:  2004-09-29     Completed Date:  2005-02-22     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9604509     Medline TA:  Surg Technol Int     Country:  United States    
Other Details:
Languages:  eng     Pagination:  195-200     Citation Subset:  IM    
Affiliation:
Cardiac Surgery Department, University of Tor Vergata, Rome, Italy.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aortic Valve / surgery*
Blood Vessel Prosthesis Implantation*
Female
Heart Valve Prosthesis*
Heart Valve Prosthesis Implantation*
Humans
Male
Middle Aged
Prosthesis Design

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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