Late reoperation for proximal aortic and arch complications after previous composite graft replacement in Marfan patients. An aortic valve-sparing operation for patients with aortic incompetence and aneurysm of the ascending aorta. root surgery in Marfan syndrome: comparison of aortic valve-sparing reimplantation versus composite grafting. We would like to congratulate Okamoto and colleagues fo...

OBJECTIVES The sinuses of Valsalva are known to contribute to the normal function of the aortic valve. Little is known about their role in promoting coronary artery blood flow. The aim of this study was to compare coronary artery flow characteristics among patients undergoing a Bentall operation by means of a conventional cylindrical Dacron conduit or with a new conduit with pseudosinuses of Va...

We performed surgical repair of a giant left coronary ostial aneurysm after aortic root replacement using composite valve graft (modified Bentall procedure) in a patient with Marfan syndrome. Aneurysmal formation in the left main stem itself is very rare. In order to avoid mobilizing the coronary ostium from severe adhesions after previous surgery and to reduce the tension on the anastomosis, t...

INTRODUCTION Blindly punching between aorta and right atrium is dangerous. In that case, there is concerned about leakage between the two referred isolate parts. Besides, as the routine imaging techniques (echocardiography or computer tomography) are incompetent to detect this particular anatomic structure preoperatively, the intraoperative inspection appears necessary. Our method is useful for...

Cannulation of the axillary artery is one possible means of establishing cardiopulmonary bypass during surgery of the ascending aorta and aortic arch. Use of a Dacron graft for cannulation has a number of advantages. In this article, we report our experience with this technique in seven consecutive patients in whom we performed an ascending aorta replacement. The associated procedures involved ...

PURPOSE We have been using the flanged composite aortic prosthesis and Carrel button technique to re-attach the coronary ostia in aortic root replacement procedures at our institution over the last twenty five years. Our objective was to evaluate the long-term results of aortic root replacement with this technique. METHODS A total of 73 patients from January 1984 to August 2010 were included ...

Introducción: La cirugía cardíaca libre de esternotomía completa surge en los años 90 con las primeras esternotomías y toracotomíasmínimas. la válvula raíz aórtica constituyen uno procedimientos más frecuentes nuestro campo. En este trabajo analizamos nuestra experiencia Cirugía Cardíaca Miniinvasiva (MICS) técnica Bentall Bono (MICS-Bentall).Objetivo: Analizar resultados quirúrgicos primeros 1...

BACKGROUND Management of an adult patient with aortic coarctation and an associated cardiac pathology poses a great surgical challenge since there are no standard guidelines for the therapy of such complex pathology. Debate exists not only on which lesion should be corrected first, but also upon the type and timing of the procedure. Surgery can be one- or two-staged. Both of these strategies ar...