Alternatives in the treatment of prosthetic infection after the bentallde bono operation. Pdf clinical experience with the bentall procedure. A lethal complication 19 years after bentall reoperation. Is the bentall procedure for ascending aorta or aortic valve replacement the best approach for longterm eventfree survival ann thorac surg. Embolic and bleeding events after modified bentall. To evaluate the influence of bentall procedure on left ventricular function and condition on longterm followup. Aortic pseudoaneurysm of a bentall composite valve graft. Pdf we retrospectively analyzed 28 years of experience with the bentall procedure in patients. He has held appointments at the universities of oxford, london, cambridge and harvard. The modified bentallde bono procedure is considered the standard approach for the repair of an ascending aortic aneurysm or a type a aortic dissection when accompanied by an incompetent, irreparable aortic valve. Twenty nine years ago, he had undergone aortic root and valve replacement with the bentallde bono continuoussuture wrapinclusion technique because of an aneurysm of the ascending aorta and severe aortic valve regurgitation. Hagl c, strauch jt, spielvogel d, galla jd, lansman sl.
Dec 16, 2015 in case 1, three months after hospital discharge, a small fistula in the upper sternal scar was observed. Pdf hugh henry bentall, a pioneer of cardiovascular surgery. Comparing outcomes between valvesparing root replacement and. Alternatives in the treatment of prosthetic infection after. We report the case of a patient with laubrypezzi syndrome, originally operated on at six years of age for vsd closure and plasty between the left and the right aortic cusps. The bentall procedure the journal of thoracic and cardiovascular. A bovine pericardial patch was secured to the edges of the ventricular incision figure 1. The patient was a 27yearold man who had undergone 3 cardiac operations. Featured software all software latest this just in old school emulation msdos games historical software classic pc games software library. From 2008 to 2015 8year period, 308 patients underwent a bentallde bono procedure in our institute. Complete aortic prosthetic valve dehiscence after modified bentallde bono procedure onur tasar 1, arzu kalayci 2, can yucel karabay 3, cevat kirma 2 1 department of cardiology, elazig education and research hospital, elazig, turkey 2 department of cardiology, kosuyolu heart education and research hospital, istanbul, turkey 3 department of cardiology, dr. Modified bentall technique have many beneficial effects over the original bentall technique.
A technique for complete replacement of the ascending. Hagl c, strauch jt, spielvogel d, galla jd, lansman sl, et al. Cardiovascular is the bentall procedure for ascending. If you have such a permission, please upload it again. The konno aortoventriculoplasty after the bentall procedure. It is considered a standard for individuals who require aortic root replacement, and the vast majority of individuals who undergo the surgery receive mechanical valves. Complete aortic prosthetic valve dehiscence after modified. During the ensuing years, this technique, with various modi. The bentall procedure is a type of cardiac surgery involving composite graft replacement of the. Pdf hugh henry bentall, a pioneer of cardiovascular. For years, this technique became the practice standard for surgical treatment of dysfunctions of the aortic valve, root and ascending aorta 35. Cardiovascular is the bentall procedure for ascending aorta.
Data were removed of medical records and followup data were obtained from clinical records and direct contact with patients. Coxiella burnetii cardiovascular prosthetic infections are associated with high morbidity and mortality and represent a major health problem due to the lack of standardized management. The ostia of the coronary arteries were anastomosed to. A technique for complete replacement of the ascending aorta. The bioprosthesis is sutured on the free margin of the everted graft with a running 40 polypropylene suture fig. The conduits with mechanical valves are widely used, especially in younger patients, because of their durability. This is likely due to concerns about the durability of av correction in vsrr. In the bentall procedure, the durability of the av is deferred to prosthesis function. For years, this technique became the practice standard for surgical treatment of dysfunctions of. Alternatives in the treatment of prosthetic infection. Pdf primary percutaneous coronary intervention with des.
Seventythree consecutive patients who underwent an aortic root and ascending aorta replacement with composite valve button bentall or flanged bentall technique, from january 2007 to november 2018, were included in this retrospective study. In this view as in figure 2a color doppler demonstrates. The button bentall procedure operative techniques in. Ten years after the first operation, a redo bentall operation was carried out, because of prosthetic valve endocarditis. Sustina te modifikacije je u redizajniranju anastomoze koronarnih ostijuma u obliku dugmeta button i. Bentall operation with a slight modification for the correction of aortic root disease.
All the patients at followup were free from structural. Direct teaching of thinking as a skill cort cognitive research trust thinking. Laubrypezzi syndrome with aortic root dilatation treated. Twodimensional mri steadystate free precession imaging in the sagittal plane showing a. Comparing outcomes between valvesparing root replacement. This chapter provides a brief overview of the bentall procedure and focuses on the technical aspects of the minibentall procedure. Embolic and bleeding events after modified bentall procedure. The minibentall procedure encompasses aortic root and ascending aorta replacement with reimplantation of coronary buttons, performed via a ministernotomy.
Are srinivasa have you obtained permission to upload this book. Complimenting the use of logical vertical thinking, lateral thinking can be used to. The procedure is performed through a 57 cm skin incision. He also holds a phd from cambridge and an md from the university of malta. First published in 1967 as the use of lateral thinking, this classic international bestseller remains as relevant to learning, problem solving and creative thinking today as it did when it was first published. He was the first professor of cardiothoracic surgery in the united kingdom, at the hammersmith hospital, and carried out the first openheart operations with a heartlung machine in london in 1953. Is the bentall procedure for ascending aorta or aortic valve. However, in the followup the patient developed severe aortic regurgitation and aortic root dilatation.
During the second operation, both main native coronary arteries were anastomosed endtoend to aortic. A simple modified bentall technique for surgical reconstruction of the. Persistent coxiella burnetii cardiovascular infection on. Braz j cardiovasc surg influence of bentall procedure on.
Usually, such books are ed and your posting may violate one. Get a printable copy pdf file of the complete article 385k, or click on a page image below to browse page by page. Pdf download for primary or secondary bentallde bono procedure. The first surgeons who in 1968 described and experimented with the procedure were drs. New modification of modified bentall procedure a single. Biobentall procedure versus isolated biological aortic. Teach yourself to think is the classic work of intelligent selfempowerment from worldrenowned writer and. The technique was first achieved by sewing and wrapping the coronary arteries around the valve replacement using a method called side to side anastomosis. When it was explored surgically, the fistula affected the superiorposterior part of the sternum and the pericardium was covering the prosthesis except in a small area over the left distal anastomosis of the dacron graft, which had a drop of pus.
Jedna od najprihvatljivijih modifikacija originalne bentallde bono tehnike je buttonbentallova tehnika reimplantacije ostijuma koronarnih arterija po kouchoukosu i sar. Hugh henry bentall, the inventor of the surgical procedure that enabled concomitant replacement of the aortic valve and ascending aorta, died on september 2012 at the age of 92. Eighteen years of clinical experience with a modification of the. Biobentall procedure versus isolated biological aortic valve. During the decades, several modifications of the originally described technique have been introduced. A 25mm onx onx life technologies inc, austin, tex aortic valve was placed with interrupted pledgeted sutures. The bentalldebono operation is the technique of choice for aortic root replacement. Freedom from prosthetic valve related complications was. The proximal aortic root was too attenuated to afford anchorage to the aortic prosthesis, so this was sutured to the ring of a starr valve and the prostheses were inserted en bloc. A technique for complete replacement of the aortic valve and ascending aorta in cases of aneurysm of the ascending aorta with aortic valve ectasia is described. Twentyeight patients had prior cardiac surgery through a median sternotomy group 1 and 280 underwent a primary bentallde bono procedure group 2. Is the bentall procedure for ascending aorta or aortic valve replacement the best approach for longterm eventfree survival.
371 1651 324 1533 1384 764 1244 1097 167 1384 640 1238 355 516 649 605 230 1197 1113 1522 571 1437 885 658 1626 897 1185 1121 1036 1049 1633 1026 482 1311 368 431 1124 646 1188 1183 1148 697 1203 523