Modified Miniskirt Bentall with an Annular Pericardial Patch for Bentall's Endocarditis

Surgery for Bentall's endocarditis poses challenges because the infection spreads to the aortic valve annulus, leading to an annular abscess that necessitates reconstruction. We present a straightforward miniskirt Bentall procedure using an annular pericardial patch to treat Bentall's endo...

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Bibliographic Details
Main Authors: Akimasa Morisaki, Yosuke Takahashi, Kenta Nishiya, Toshihiko Shibata
Format: Article
Language:English
Published: Georg Thieme Verlag KG 2024-01-01
Series:The Thoracic & Cardiovascular Surgeon Reports
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Online Access:http://www.thieme-connect.de/DOI/DOI?10.1055/a-2426-9423
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Summary:Surgery for Bentall's endocarditis poses challenges because the infection spreads to the aortic valve annulus, leading to an annular abscess that necessitates reconstruction. We present a straightforward miniskirt Bentall procedure using an annular pericardial patch to treat Bentall's endocarditis with an annular abscess. After removing the former composite graft and debriding the aortic root and annulus, we created a miniskirt-composite graft using a mechanical or bioprosthetic valve, a straight or Valsalva graft, and an annular bovine pericardial patch with a valve prosthetic sizer. The miniskirt-composite graft, along with the underlying annular pericardial patch, was implanted using a double-layered suture technique.
ISSN:2194-7635
2194-7643