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Related Experiment Videos

New modified Bentall procedure: Carrel patch and inclusion technique

K Kawazoe1, K Eishi, Y Kawashima

  • 1Division of Cardiovascular Surgery, National Cardiovascular Center of Japan, Osaka.

The Annals of Thoracic Surgery
|June 1, 1993
PubMed
Summary

A novel Carrel patch and inclusion technique for coronary anastomosis in Bentall-type procedures significantly reduced complications. This method offers a promising solution for hemostasis and reinforcing surgical connections.

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Area of Science:

  • Cardiovascular Surgery
  • Surgical Innovation
  • Thoracic Surgery

Background:

  • Bentall-type procedures are complex aortic surgeries.
  • Coronary ostial anastomosis complications, including bleeding and dehiscence, remain significant challenges.
  • Current techniques require improvement for hemostasis and anastomosis reinforcement.

Purpose of the Study:

  • To introduce and evaluate a modified Carrel patch and inclusion technique for coronary anastomosis in Bentall-type procedures.
  • To assess the efficacy of this technique in preventing complications like bleeding and dehiscence.
  • To determine if this method can shorten the time required for hemostasis.

Main Methods:

  • A Carrel patch and inclusion technique was employed in 13 patients undergoing Bentall-type procedures.

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  • The coronary ostium was excised with a collar of the aortic wall, preserving epicardium.
  • The excised ostium was anastomosed to the composite graft, which was then included with the aortic wall.

    • Main Results:

    • The modified technique was performed without any subsequent complications in all 13 patients.
    • No instances of bleeding or dehiscence around the coronary ostial anastomosis were reported.
    • The technique facilitated effective hemostasis and reinforced the anastomosis.

    Conclusions:

    • The Carrel patch and inclusion technique is a safe and effective method for coronary anastomosis in Bentall-type procedures.
    • This approach successfully mitigates major complications associated with coronary ostial anastomoses.
    • The technique offers a valuable advancement in reinforcing graft connections and improving patient outcomes.