TY - JOUR
T1 - “Double Cuff” Technique for Modified Bentall Procedure
AU - Mutsuga, Masato
AU - Usui, Akihiko
N1 - Publisher Copyright:
© 2021 Australian and New Zealand Society of Cardiac and Thoracic Surgeons (ANZSCTS) and the Cardiac Society of Australia and New Zealand (CSANZ)
PY - 2021/10
Y1 - 2021/10
N2 - The combination of interrupted and running sutures was initially introduced as a tandem suture line to improve haemostasis in the modified Bentall procedure. These techniques basically consist of two suturing techniques. This paper reports the “Double Cuff” technique, which uses only one interrupted suture with a double-folded layer between the aortic remnant wall of Valsalva and the aortic ring and a double-folded layer on the composite graft side to ensure absolute proximal annular haemostasis. The proximal side of the composite graft is made by fashioning a double layer, in which the graft is everted inside and sutured with the prosthetic valve. The “Double Cuff” technique is a simple, reproducible and durable method for ensuring haemostasis and should be considered as a supplementary procedure for proximal anastomosis.
AB - The combination of interrupted and running sutures was initially introduced as a tandem suture line to improve haemostasis in the modified Bentall procedure. These techniques basically consist of two suturing techniques. This paper reports the “Double Cuff” technique, which uses only one interrupted suture with a double-folded layer between the aortic remnant wall of Valsalva and the aortic ring and a double-folded layer on the composite graft side to ensure absolute proximal annular haemostasis. The proximal side of the composite graft is made by fashioning a double layer, in which the graft is everted inside and sutured with the prosthetic valve. The “Double Cuff” technique is a simple, reproducible and durable method for ensuring haemostasis and should be considered as a supplementary procedure for proximal anastomosis.
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U2 - 10.1016/j.hlc.2021.05.073
DO - 10.1016/j.hlc.2021.05.073
M3 - Article
C2 - 34083152
AN - SCOPUS:85107139270
SN - 1443-9506
VL - 30
SP - e109-e111
JO - Heart Lung and Circulation
JF - Heart Lung and Circulation
IS - 10
ER -