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Updated: May 9, 2026

Novel and Innovative Hybrid Technique for Type A Aortic Dissection
Published on: March 28, 2025
Alternative to the bentall procedure for elderly patients with aortic root aneurysms
Olivier M Bical1, Philippe Deleuze
1Department of Adult Cardiac Surgery, Centre Chirurgical Marie Lannelongue, Le Plessis Robinson, France.
Abstract:
We describe an alternative technique to the Bentall procedure for elderly patients with aortic root aneurysms. It is the subcoronary implantation of a Freestyle (Medtronic, Minneapolis, MN) aortic bioprosthesis with interposition of a graft material between the upper part of the Freestyle bioprosthesis and the distal aorta. The technique described avoids the proximal anastomosis of the graft and avoids the coronary reimplantations of the Bentall procedure which are still a potential risk of bleeding particularly in elderly patients.

