| New use of teflon to reduce bleeding in modified bentall operation. | |
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MedLine Citation:
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PMID: 18612443 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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We analyzed the postoperative short- and mid-term outcomes of a series of patients with annuloaortic ectasia who underwent a modified Bentall operation in our clinic from September 2000 through March 2006. The study included 44 patients. Their average age was 53.4 +/- 14.1 years. The underlying disease was degenerative aortic aneurysm in 42 patients (95.5%) and acute aortic dissection in 2 patients (4.5%). Six patients (13.6%) had Marfan phenotype. Aortic insufficiency was moderate in 30 patients (68.2%) and severe in 14 patients (31.8%). In our modification of the Bentall technique, we completed the resection of the aortic root while leaving 5 to 10 mm of native aortic wall tissue to support the anastomosis. A long piece of Teflon felt (width, 0.5-1 cm) was laid on the annulus, and nonpledgeted 2-0 polyester sutures were passed in turn through the Teflon felt, the preserved aortic tissue, and the aortic annulus. A thin piece of Teflon felt was also used in the coronary artery reimplantation sites. Fibrin glue was routinely applied to all anastomoses. There were no intraoperative deaths. One patient died in the hospital after surgery for acute type I aortic dissection. Another patient died 1 year after the operation from prosthetic-valve endocarditis. No patient required surgical correction of excessive postoperative bleeding. Kaplan-Meier curves showed overall survival of 0.94 (95% confidence intervals, 0.9-0.99). We consider our approach an easy, effective way to minimize bleeding from the anastomoses and at the aortic root--a common challenge in aortic surgery. |
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Authors:
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Onur Sokullu; Soner Sanioglu; Gokcen Orhan; M Sinan Kut; Oral Hastaoglu; Pelin Karaca; Batuhan Ozay; Umut Ayoglu; Fuat Bilgen |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Texas Heart Institute journal / from the Texas Heart Institute of St. Luke's Episcopal Hospital, Texas Children's Hospital Volume: 35 ISSN: 0730-2347 ISO Abbreviation: Tex Heart Inst J Publication Date: 2008 |
Date Detail:
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Created Date: 2008-07-09 Completed Date: 2008-11-18 Revised Date: 2009-11-18 |
Medline Journal Info:
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Nlm Unique ID: 8214622 Medline TA: Tex Heart Inst J Country: United States |
Other Details:
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Languages: eng Pagination: 147-51 Citation Subset: IM |
Affiliation:
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Division of Cardiovascular Surgery, Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Center, 34710 Istanbul, Turkey. onursokullu@gmail.com |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Aneurysm, Dissecting / surgery* Aortic Aneurysm, Thoracic / surgery* Biocompatible Materials / therapeutic use* Cohort Studies Female Hemostasis, Surgical / methods* Humans Male Middle Aged Polytetrafluoroethylene / therapeutic use* Postoperative Hemorrhage / etiology, prevention & control* Retrospective Studies Suture Techniques Treatment Outcome |
| Chemical | |
Reg. No./Substance:
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0/Biocompatible Materials; 9002-84-0/Polytetrafluoroethylene |
| Comments/Corrections | |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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