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Vessel-sparing Excision and Primary Anastomosis
Published on: January 7, 2019
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Total proximal anastomosis detachment after classical bentall procedure
Aref Rashed1, Karoly Gombocz1, Andras Vigh1
1Department of Cardiac Surgery, Zala St. Raphael County Hospital, Zalaegerszeg, Hungary.
International Journal of Surgery Case Reports
|July 9, 2017
Summary
Total detachment of the proximal anastomosis after a Bentall procedure is a rare complication. Familiarity with modifications and alternative solutions like left ventricle outflow tract elongation can address this issue.
Area of Science:
- Cardiovascular Surgery
- Thoracic Surgery
Background:
- The Bentall procedure, standard since 1968 for aortic root aneurysms, faces complications like coronary ostia detachment and pseudoaneurysms.
- Modifications have aimed to mitigate these risks, though proximal anastomosis detachment remains rare.
Purpose of the Study:
- To report a rare case of total proximal anastomosis detachment following a Bentall operation.
- To explore potential mechanisms, surgical solutions, and review existing alternatives for this complication.
Main Methods:
- Case report detailing a patient with total proximal anastomosis detachment diagnosed during routine follow-up.
- Review of surgical literature for management strategies and alternative procedures.
Main Results:
- The complication was identified and addressed with urgent surgery.
- The study reviews potential operative solutions for this rare event.
Conclusions:
- Bentall procedure and its modifications are gold standards for aortic root aneurysms.
- Surgeons must know modifications and alternative solutions, such as left ventricle outflow tract elongation, for complications like total proximal anastomosis detachment.
