Related Experiment Video
Updated: Jun 13, 2025
Author Spotlight: Enhancing Coronary Artery Revascularization
Published on: September 15, 2023
Application of preset coronary artery orifice patch in Bentall surgery
Chunsheng Li1, Zhongya Yan1, Zhong Lu2
1Department of Cardiovascular Surgery, Second Afliated Hospital of Anhui Medical University, Hefei, Anhui, 230601, China.
Insights
A modified Bentall surgery using a preset coronary artery orifice patch offers an effective alternative for aortic root lesions, especially in patients with mild aortic sinus dilation or aortic dissection.
Area of Science:
- Cardiovascular Surgery
- Thoracic Surgery
- Aortic Surgery
Background:
- Bentall surgery is standard for aortic root lesions.
- Traditional methods pose challenges for patients with mild aortic sinus dilation due to coronary artery anastomosis difficulties.
Background:
Bentall surgery is the main method for treating aortic root lesions, but traditional Bentall method is very difficult for patients with mild aortic sinus dilation to directly anastomose the coronary artery orifice with graft.
Case Presentation:
A 41-year-old man was admitted to hospital after severe chest pain. Computed tomography angiography(CTA)revealed a type A aortic dissection. Echocardiography showed moderate aortic valve regurgitation and an aortic sinus diameter of 38 mm( mm). The patient underwent emergency Bentall surgery (using a preset coronary artery orifice patch), total arch replacement, and implantation of a graft into the descending aorta. Follow-up echocardiography showed the patient cardiac function was good, and there was no residual leakage at the coronary artery orifice.
Conclusions:
This method is an alternative to traditional Bentall surgery and is suitable for all aortic root lesions, especially those with mild aortic sinus dilation or concomitant aortic dissection.
