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Emergency fast Bentall operation.

Eugenio Neri1, Enrico Tucci1, Giulio Tommasino1

  • 1Universita' degli Studi di Siena, Unita' Operativa di Chirurgia del Cuore e dei Grossi Vasi, Siena, Italy.

Interactive Cardiovascular and Thoracic Surgery
|January 20, 2018
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Summary
This summary is machine-generated.

A novel composite Bentall operation technique using a fast release valve offers a rapid solution for emergency aortic dissection repairs. This innovative approach proved effective in two critical cases following failed ascending aortic replacements.

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Area of Science:

  • Cardiovascular Surgery
  • Thoracic Surgery
  • Aortic Surgery

Background:

  • Acute Type A aortic dissection poses significant surgical challenges.
  • Failed primary ascending aortic replacement necessitates urgent reintervention.
  • The Bentall operation is a standard procedure for complex aortic arch and root pathologies.

Purpose of the Study:

  • To present an emergency technique for composite Bentall operation.
  • To evaluate the feasibility and advantages of a fast release valve in this procedure.
  • To address complications arising from failed supracoronary ascending aortic replacement.

Main Methods:

  • Development and application of a modified composite Bentall operation technique.
  • Utilization of a fast release valve for expedited surgical steps.
  • Application in two emergency cases of acute Type A aortic dissection with prior failed surgery.

Main Results:

  • Successful completion of the composite Bentall operation in both emergency cases.
  • Demonstrated speed and ease of execution of the novel technique.
  • Effective management of complications following initial failed ascending aortic replacement.

Conclusions:

  • The emergency composite Bentall operation with a fast release valve is a viable and efficient technique.
  • This method provides a valuable option for managing complex aortic dissections with prior surgical failures.
  • The technique's speed and simplicity are critical advantages in emergency settings.