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. 2020 Feb;8(1):18-20.
doi: 10.1055/s-0039-1700998. Epub 2020 Jun 29.

Hemostatic Modification of the Bentall Procedure Using an Overlap Suture Technique

Mio Kasai  1 , Akihiro Yoshitake  1 , Hideyuki Shimizu  1
Affiliations

Hemostatic Modification of the Bentall Procedure Using an Overlap Suture Technique

Mio Kasai et al. Aorta (Stamford). 2020 Feb.

Abstract

Bleeding from the proximal suture line after replacement of the aortic root can be very difficult to control. Such bleeding is an important predictor of morbidity and mortality. Here, we detail a reliable method that is simple to perform and effectively prevents surgical bleeding. We adopted a technique of overlapping the pledgeted interrupted U-stitches of the proximal sutures on the prosthetic graft, which can eliminate the bleeding from the proximal suture line.

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Conflict of interest statement

The authors declare no conflict of interest related to this article.

Figures

Fig. 1
Fig. 1
The overlapping mattress sutures are made on the composite graft but not on the aortic annulus. The first three mattress sutures are depicted as a thin line (first), a dashed line (second), and a bold line for clarity.
Fig. 2
Fig. 2
A composite graft (Dacron graft with sutured mechanical valve) with a short skirt.
Fig. 3
Fig. 3
Overlapping mattress sutures are used on the composite graft but not on the aortic annulus.
See this image and copyright information in PMC

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