scholarly journals A Case of Ascending Aorta Pseudoaneurysm due to a Freestyle-Valve Free-Wall Fistula after a Modified Bentall Procedure with the Button Technique

2005 ◽  
Vol 34 (2) ◽  
pp. 156-158
Author(s):  
Masahito Saito ◽  
Yoshihito Irie ◽  
Souichi Shioguchi ◽  
Shigeyoshi Gon ◽  
Nobuaki Kaki ◽  
...  
Keyword(s):  
Ascending Aorta ◽  
Free Wall ◽  
Bentall Procedure

scholarly journals Bentall procedure for the repair of a neoaortic aneurysm after the Norwood procedure in a patient with tricuspid atresia and a discordant ventriculo-arterial connection

2020 ◽  
Vol 31 (4) ◽  
pp. 578-579
Author(s):  
Juan Contreras ◽  
Badr Bannan ◽  
Rajiv Chaturvedi ◽  
David J Barron
Keyword(s):  
Fontan Operation ◽  
Anterior Wall ◽  
Ascending Aorta ◽  
Tricuspid Atresia ◽  
Norwood Procedure ◽  
Severe Aortic Regurgitation ◽  
Bentall Procedure ◽  
Femoral Vessels ◽  
Hypoplastic Aortic Arch ◽  
Residual Lesions

Abstract Neoaortic root dilation is a common phenomenon after the Norwood procedure, but the real incidence and its natural history are unclear. Regular surveillance in these patients after the operation is necessary. Herein, we present an 11-year-old boy born with tricuspid atresia, a discordant ventriculo-arterial connection and a hypoplastic aortic arch, who was palliated initially with a hybrid stage I procedure involving a reversed Blalock–Taussig shunt, followed by comprehensive stage II and then, an extra-cardiac fenestrated Fontan operation. The patient developed an aortic root aneurysm and severe aortic regurgitation. He was electively taken into the operating room, where cardiopulmonary bypass was established through a peripheral cannulation of the femoral vessels due to the high risk nature of the reoperation. A mechanical Bentall procedure was performed without residual lesions and the native ascending aorta was anastomosed as a single coronary button to the anterior wall of the graft.

scholarly journals Surgical approach of bentall procedure in a patient of pectus excavatum

2017 ◽  
Vol 5 (11) ◽  
pp. 5069
Author(s):  
Subrata Pramanik ◽  
Ajit Padhy ◽  
Nayem Raja ◽  
Subodh Satyarthy
Keyword(s):  
Computed Tomography ◽  
Cardiopulmonary Bypass ◽  
Pectus Excavatum ◽  
Ascending Aorta ◽  
Sinotubular Junction ◽  
Descending Aorta ◽  
X Ray ◽  
Severe Aortic Regurgitation ◽  
Bentall Procedure ◽  
Chest X Ray

A middle-aged man diagnosed case of Marfan syndrome associated with pectus excavatum presented with chest pain and dyspnea. Chest X-ray, transthoracic echocardiography and Computed tomography (CT) of heart and aorta revealed severe Aortic regurgitation with dilated aortic root, sinotubular junction and ascending aorta with normal size arch and descending aorta. Patient was taken for surgery. Pectus excavatum creates difficulties for heart exposure and cannulation for cardiopulmonary bypass. We planned for femoro-femoral bypass to carry out ahesiolysis and Bentall procedure without much difficulties. Postoperative stay of the patient was uneventful and followed up in regular interval.

scholarly journals Aortic valve reimplantation by using a Kuban Cuff technique in patients with ascending aorta aneurysm and aortic insufficiency

2016 ◽  
Vol 20 (2) ◽  
pp. 17
Author(s):  
S. Yu. Boldyrev ◽  
O. A. Rossokha ◽  
K. O. Barbukhatti ◽  
V. A, Porkhanov
Keyword(s):  
Aortic Valve ◽  
Circulatory Arrest ◽  
Postoperative Bleeding ◽  
Aortic Insufficiency ◽  
Ascending Aorta ◽  
Vascular Prostheses ◽  
Aorta Aneurysm ◽  
Bentall Procedure ◽  
The Mean ◽  
Aortic Valve Reimplantation

<p><strong>Aim:</strong> This study was designed to evaluate the results of using a new method of aortic valve reimplantation named Kuban Cuff technique, where the key stage of surgery was to create new sinuses of Valsalva.<br /><strong>Methods:</strong> Analyzed over a period from 2011 to 2015 were the outcomes of treatment of 45 (37 males) patients with various anatomy of the aortic valve (tri/bicuspid ones) and initial pathologies: aneurysms of the root and the ascending aorta, dissection of the ascending aorta, insufficiency of the aortic valve. A detailed description of the surgical technique and the unique device to prepare a vascular graft for reimplantation is given. The mean age of patients was 56.5 years (46.5; 66.5), the average time of cardiopulmonary bypass was 193.6 min (128.9; 258.2), the aorta cross-clamping time was 142.6 min (104.5; 180.7), the circulatory arrest time was 28.1 min (13.1; 43.1).<br /><strong>Results:</strong> Hospital mortality was 2 (4.4%) patients. 3 (6.6%) patients underwent re-sternotomy because of postoperative bleeding. One patient had to undergo a redo (Bentall procedure) at 2 months after discharge from the hospital as a result of acute infective endocarditis of the aortic valve. All patients demonstrated a good function of the aortic valve with regurgitation of 0/1 grade. Prior to discharge, the aortic regurgitation grade was decreased from 2.83±0.44 before surgery to 0.62±0.7 after surgery. The mean follow-up time in 42 patients (93.3%) was 12.3 months (2.68; 21.98).<br /><strong>Conclusions:</strong> The Kuban Cuff technique fully recreates a close analogue of the natural aortic root, stabilizes the fibrous annulus of the aortic valve, minimizes the risk of bleeding from the anastomosis zone. The technique is simple and reproducible with any type of vascular prostheses and does not take much time.</p>

scholarly journals Aortic root aneurysm with right atrial clot: a rare combination

2021 ◽  
Author(s):  
Debmalya Saha ◽  
Kaushik Mukherjee ◽  
Amrita Guha
Keyword(s):  
Aortic Root ◽  
Liver Function Tests ◽  
Ascending Aorta ◽  
Right Atrial ◽  
Poor General Condition ◽  
Aortic Root Aneurysm ◽  
Bentall Procedure ◽  
Clot Removal ◽  
Preoperative Optimization ◽  
The Right

Though the incidence of aneurysms involving the aortic root and/or ascending aorta is common, the combination of aortic root aneurysm and the right atrial clot is extremely rare. No such case is reported in literature till date. This case report presents a 52-year gentleman who came to our emergency department with complaints of breathlessness, abdominal distention, pedal swelling, and decreased urine output with extremely poor general condition. After hemodynamic stabilization and preoperative optimization and workup, he was managed with Bentall procedure with right atrial clot removal. The immediate postoperative course was normal except for deranged liver function tests. The patient was discharged on postoperative day ten.

scholarly journals Professor Hugh Bentall (1920–2012) and his operation for replacement of the ascending aorta (50th anniversary of Bentall procedure)

2016 ◽  
Vol 20 (2) ◽  
pp. 120 ◽  
Author(s):  
V. I. Kaleda ◽  
S. Yu. Boldyrev ◽  
K. O. Barbukhatti
Keyword(s):  
Conflict Of Interest ◽  
Russian Translation ◽  
Aortic Surgery ◽  
50Th Anniversary ◽  
Ascending Aorta ◽  
Short History ◽  
Bentall Procedure ◽  
Golden Standard ◽  
History Of ◽  
Valve Diseases

<p>Bentall procedure, first performed 50 years ago, holds a special place in the history of aortic surgery. Up to now this procedure has been widely used in cardiac surgery and remains the golden standard in managing the ascending aorta and aortic valve diseases. This paper looks at Professor Hugh Bentall’s biography, the Russian translation of his original paper published in 1968 and also a short history of ascending aorta surgery.</p><p><strong>Conflict of interest:</strong> The authors declare no conflict of interest.<br /><strong>Acknowledgement:</strong> The authors appreciate Professor S.P. Gliantsev’s critical comments and valuable advice in discussions about the paper.</p>

scholarly journals P639 Dehiscence of Bio-Bentall aortic graft after repeated staphylococcus aureus infective endocarditis

2020 ◽  
Vol 21 (Supplement_1) ◽  
Author(s):  
A Ovsenik ◽  
T Klokocovnik ◽  
M Cercek ◽  
S Frljak ◽  
M Bervar
Keyword(s):  
Staphylococcus Aureus ◽  
Coronary Artery ◽  
Infective Endocarditis ◽  
Aortic Valve ◽  
Right Coronary Artery ◽  
Prosthetic Valve ◽  
Ascending Aorta ◽  
Bentall Procedure ◽  
History Of

Abstract Introduction Echocardiography is the primary imaging modality in prosthetic valve endocarditis (PVE). It is characterised by a lower incidence of vegetations and a higher incidence of perivalvular complications, including valve dehiscence and must be suspected in case of a new periprosthetic regurgitation, even without vegetation or abscess. Multimodality approach is mandatory to detect penetration of the process into the valve ring, aortic root or ascending aorta for complete operative preparation. Case presentation A 22-year old male, with history of Bio-Bentall procedure due to Staphylococcus aureus (S.aureus) infective endocarditis on the mechanical aortic valve (AV) two years priorly, presented to the emergency department with sudden dyspnea without fever. He was treated for pneumonia due to increased inflammatory parameters and bilateral pulmonary infiltrates on X-Ray. Due to complete regression of infiltrates over the night, transthoracic echocardiography (TTE) was performed, revealing almost complete dehiscence of the AV graft with most of the antegrade and retrograde flow through the pseudoaneurismatic sac, communicating with the ascending aorta at the distal graft dehiscence, no clear vegetation was seen. With clearly visible valve and supravalvular pathology of the AV on TTE, we proceeded to computed tomography angiography (CTA) of the thoracic aorta, which showed dissection and delineated rupture of Bio-Bentall graft. The pseudoaneurismatic sac surrounding bulbar portion of Bentall graft, communicating with the left outflow tract and sinus Valsave was seen, compressing ostial portion of the left main and right coronary artery. Re-Bio-Bentall procedure and venous grafting of the left anterior descendant and right coronary artery were performed. Intraoperative transthoracic transesophageal echocardiography (TEE) confirmed the findings, already provided by TTE and CTA. Hemocultures as well as sonication of the removed graft remained negative for bacteria. Postoperatively, left ventricular failure developed, requiring VA ECMO. On postoperative CTA, changes were consistent with usual postprocedural changes. After prolonged rehabilitation, the patient was released home, clinically stable, but with severely reduced ejection fraction of the left ventricle, severe diastolic dysfunction and mild mitral regurgitation. Conclusion TTE is a very useful, non-invasive imaging method in diagnosing PVE and its complications, which can be upgraded with TEE or CTA to provide additional information on the ascending aorta. In a patient, with the past history of repetitive S. aureus infective endocarditis, presenting with Bio-Bental dehiscence, PVE cannot be excluded completely. Even though the timing for follow-up imaging is not well defined in current guidelines, patients with dehiscence of prosthetic valve or graft present a high risk group, demanding individual follow-up planning and lower threshold for imaging referral. Abstract P639 Figure. Dehiscence of aortic valve graft

scholarly journals Repair of Multiple Subclavian and Axillary Artery Aneurysms in a 58-Year-Old Man with Marfan Syndrome

2016 ◽  
Vol 43 (5) ◽  
pp. 428-429 ◽  
Author(s):  
Ahmet Dolapoglu ◽  
Kim I. de la Cruz ◽  
Ourania Preventza ◽  
Joseph S. Coselli
Keyword(s):  
Aortic Dissection ◽  
Marfan Syndrome ◽  
Surgical Approach ◽  
Axillary Artery ◽  
Ascending Aorta ◽  
Dacron Graft ◽  
Bentall Procedure ◽  
Surgical Bypass ◽  
Aortic Dissections ◽  
Bypass Technique

Dilation of the ascending aorta and aortic dissections are often seen in Marfan syndrome; however, true aneurysms of the subclavian and axillary arteries rarely seem to develop in patients who have this disease. We present the case of a 58-year-old man with Marfan syndrome who had undergone a Bentall procedure and thoracoabdominal aortic repair for an aortic dissection and who later developed multiple aneurysmal dilations of his right subclavian and axillary arteries. The aneurysms were successfully repaired by means of a surgical bypass technique in which a Dacron graft was placed between the carotid and brachial arteries. We also discuss our strategy for determining the optimal surgical approach in these patients.

Retrieving a lost needle in the descending aorta during hemi-arch replacement

2022 ◽  
pp. 021849232110724
Author(s):  
Eda Tadahito ◽  
Horiuchi Kazutaka ◽  
Sakurai Yusuke ◽  
Komoda Satsuki ◽  
Mizutani Shinichi ◽  
...  
Keyword(s):  
Aortic Root ◽  
Chest Radiography ◽  
Circulatory Arrest ◽  
Aortic Insufficiency ◽  
Ascending Aorta ◽  
Distal Anastomosis ◽  
Fluoroscopic Guidance ◽  
Descending Aorta ◽  
Bentall Procedure ◽  
Aortic Replacement

A 73-year-old man diagnosed with moderate aortic insufficiency and dilatation of the aortic root and ascending aorta underwent a modified Bentall procedure and hemi-arch aortic replacement. During open distal anastomosis of the ascending aorta, the surgical needle was lost. Because of circulatory arrest, the operation was continued; before closing the chest, radiography and a transesophageal echo were located in the needle in the descending aorta. It was retrieved using a snare catheter via the graft branch under fluoroscopic guidance. Thus, locating the needle in the descending aorta and leaving the graft branch uncut led to its removal without a new incision.

Is the bentall procedure for ascending aorta or aortic valve replacement the best approach for long-term event-free survival?

2003 ◽  
Vol 76 (3) ◽  
pp. 698-703 ◽  
Author(s):  
Christian Hagl ◽  
Justus T Strauch ◽  
David Spielvogel ◽  
Jan D Galla ◽  
Steven L Lansman ◽  
...  
Keyword(s):  
Aortic Valve ◽  
Aortic Valve Replacement ◽  
Valve Replacement ◽  
Ascending Aorta ◽  
Event Free Survival ◽  
Free Survival ◽  
Bentall Procedure
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