Minimally invasive Bentall-de Bono procedure through an upper ministernotomy

Area of Science:

• Cardiovascular Surgery
• Thoracic Surgery
• Minimally Invasive Procedures

Background:

• Aneurysms of the aortic root with valve pathology require complex surgical intervention.
• The Bentall-de Bono procedure, involving composite graft replacement, is an established treatment.
• Conventional surgical approach typically involves a full sternotomy.

Purpose of the Study:

• To present a minimally invasive technique for the Bentall-de Bono procedure.
• To demonstrate the use of a self-made composite graft in this approach.
• To offer an alternative to the standard full sternotomy for aortic root and valve replacement.

Main Methods:

• Video tutorial demonstrating a surgical procedure.
• Utilizing a self-made composite graft.
• Performing the Bentall-de Bono procedure through an upper ministernotomy (minimally invasive approach).

Main Results:

• Successful application of the Bentall-de Bono procedure via upper ministernotomy.
• Demonstration of a feasible minimally invasive alternative to full sternotomy.
• Highlights the adaptability of the Bentall-de Bono procedure to less invasive techniques.

Conclusions:

• Minimally invasive Bentall-de Bono procedure is a viable option.
• Upper ministernotomy approach with a self-made graft is feasible.
• Offers a less invasive surgical strategy for aortic root and valve pathology.