A modified Bentall procedure in a patient with a displaced left coronary ostium
Takashi Miura1, Kazuyoshi Tanigawa, Seiji Matsukuma
1Department of Cardiovascular Surgery, Nagasaki University Hospital, 1-7-1 Sakamoto, Nagasaki, 852-8501, Japan, takashiren@yahoo.co.jp.
Insights
This study presents a novel aortic root replacement technique for patients with challenging left coronary artery anatomy. The procedure successfully maintained antegrade coronary blood flow, offering a viable solution for complex cases.
Area of Science:
- Cardiovascular Surgery
- Cardiac Anatomy
- Aortic Root Pathology
Background:
- Anatomical variations in coronary ostia can complicate aortic root replacement.
- Standard surgical techniques may be difficult when coronary button preparation is challenging.
Abstract:
We encountered a 63-year-old female in whom the left coronary ostium was located close to the commissure between the right and left coronary cusps, and performed aortic root replacement leaving the left coronary artery and surrounding the sinus of Valsalva. The sinus of Valsalva, prosthetic valve cuff, and prosthetic vessel were sutured together when the region other than the left coronary artery-containing sinus of Valsalva was sutured. The hemostatic effect of our procedure, which is for cases in which preparation of a coronary button is difficult, was favorable and antegrade coronary arterial blood flow could be maintained.
