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Related Experiment Video

Updated: Jun 13, 2026

Updated Protocol for the Assembly and Use of the Minibioreactor Array (MBRA)
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Updated Protocol for the Assembly and Use of the Minibioreactor Array (MBRA)

Published on: September 5, 2025

Modified bio-Bentall procedure: 10-year experience.

Paul P Urbanski1, Nico Heinz, Xiaochin Zhan

  • 1Cardiovascular Clinic Bad Neustadt, Bad Neustadt, Germany. p.urbanski@kardiochirurg.de

European Journal of Cardio-Thoracic Surgery : Official Journal of the European Association for Cardio-Thoracic Surgery
|May 7, 2010
PubMed
Summary
This summary is machine-generated.

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Repair of Asymmetric Bicuspid Aortic Valve Using Tricuspidation with CardioCel.

Interdisciplinary cardiovascular and thoracic surgery·2026
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Annuloplasty for narrowing of the aortic annulus.

European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery·2025
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A Cross-Sectoral Telemedicine Network (sekTOR-HF) for Patients with Heart Failure.

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Aortic root repair using reimplantation or remodelling with and without an annuloplasty: a need for randomized studies.

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Aortic valve reconstruction with CardioCel: Midterm Results.

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Outcomes of RDAVR with Coronary Revascularization: 3-year Results from the German INCA Registry.

The Thoracic and cardiovascular surgeon·2025

This study shows that a modified composite graft for aortic root replacement allows for easier biological valve replacement if needed. This technique offers good outcomes and simplifies future interventions for patients.

Area of Science:

  • Cardiovascular Surgery
  • Biomaterials Engineering
  • Prosthetic Valve Technology

Background:

  • Biological aortic valve conduits are seldom used due to concerns about structural valve deterioration necessitating complex reoperations.
  • Existing methods for aortic root replacement with biological valves pose challenges for future valve exchange.

Purpose of the Study:

  • To assess the 10-year efficacy of a modified composite graft for aortic root replacement.
  • To evaluate a novel graft design enabling in-situ biological valve prosthesis replacement without disturbing coronary ostia.

Main Methods:

  • A retrospective analysis of 182 consecutive patients undergoing aortic root replacement with self-assembled composite grafts from 1998 to 2008.
  • The modified graft houses a biological valve prosthesis within a vascular tube, facilitating isolated valve replacement.

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  • Prospective collection of perioperative data, including indications for surgery and patient outcomes.
  • Main Results:

    • The technique allowed for significant valve oversizing in 30 patients with smaller annuli.
    • Low rates of re-operation for bleeding (4.4%) and no blood transfusions required for 37.9% of patients.
    • Overall survival was 74.2% at a mean follow-up of 4 years, with a linearized death rate comparable to control populations. Only one patient required re-operation for valve deterioration, which was easily performed.

    Conclusions:

    • The modified aortic composite graft with an internal biological valve offers feasible valve oversizing and excellent hemostatic properties.
    • This design simplifies valve prosthesis replacement in cases of deterioration, making it a recommendable option, particularly for younger patients.