Surgery for detached coronary ostial anastomosis 21 years post-Bentall procedure
Shogo Isomura1, Susumu Hosoda2, Akira Shikawa2
1Department of Cardiac Surgery, Sendai Cardiovascular Center, 21-1 Honda-cho, Izumi-ku, Sendai, Miyagi, 981-3107, Japan. ringo-stars@infoseek.jp.
Insights
A modified Bentall procedure can lead to rare but serious graft complications years later. This case highlights successful surgical repair of coronary ostial anastomosis detachment and graft stenosis.
Area of Science:
- Cardiovascular Surgery
- Thoracic Surgery
- Vascular Surgery
Background:
- The Bentall procedure is a complex aortic root replacement technique.
- While effective, long-term complications can arise, particularly with graft anastomoses.
- Coronary ostial complications, though infrequent, pose significant risks.
Abstract:
Though a high frequency of postoperative complications after an original Bentall procedure has been reported, several procedures that reduce the incidence of complications have been developed. Complications relating to anastomoses of the interposed graft are infrequent but life-threatening. This report describes a case of a 61-year-old man who presented with heart failure secondary to bilateral detachment of coronary ostial anastomoses and graft stenosis 21 years after undergoing a modified Bentall procedure. These complications were successfully repaired by reconstructing the conduit and coronary arteries.
