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J Card Surg. 2013 May;28(3):298-300. doi: 10.1111/jocs.12078. Epub 2013 Feb 28.

The Bentall procedure without the use of a prepared valved-conduit: a step backwards?

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  • 1Brighton and Sussex Medical School, Brighton, United Kingdom.


A repeat Bentall procedure or a Bentall procedure in an immobile aortic root such as a prior homograft that has calcified can be problematic. Separating the valve from the conduit and with a modified elephant trunk concept we have simplified the proximal graft anastomosis using a running suture technique. This is followed by coronary ostia implantation and then by lowering the aortic valve onto the aortic annulus using a running suture technique.

© 2013 Wiley Periodicals, Inc.

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