Safe Technique of Coronary Button Preparation in Redo Bentall Operation

Authors

Suguru Ohira, Division of Cardiothoracic Surgery, Department of Surgery, Westchester Medical Center, New York Medical College, Valhalla, New York, United States.
Ramin Malekan, Division of Cardiothoracic Surgery, Department of Surgery, Westchester Medical Center, New York Medical College, Valhalla, New York, United States.
Masashi Kai, Division of Cardiothoracic Surgery, Department of Surgery, Westchester Medical Center, New York Medical College, Valhalla, New York, United States.
David Spielvogel, Division of Cardiothoracic Surgery, Department of Surgery, Westchester Medical Center, New York Medical College, Valhalla, New York, United States.

Author Type(s)

Faculty

DOI

10.1055/s-0042-1744263

Journal Title

The Thoracic and Cardiovascular Surgeon

First Page

684

Last Page

686

Document Type

Article

Publication Date

12-1-2022

Department

Surgery

Abstract

We introduce a technique of coronary button reconstruction in performing a redo Bentall procedure. A coronary button is prepared leaving a 3 to 4 mm rim of old Dacron graft surrounding the previous button. The Dacron rim may be sewn to the new aortic root graft directly or via an interposed 8- or 10-mm graft, using a modified Cabrol technique. If the button is comprised of good tissue and can be well-mobilized, it is removed from the Dacron rim and anastomosed directly to the new Dacron graft.

Recommended Citation

Ohira, S., Malekan, R., Kai, M., & Spielvogel, D. (2022). Safe Technique of Coronary Button Preparation in Redo Bentall Operation. The Thoracic and Cardiovascular Surgeon, 70 (8), 684-686. https://doi.org/10.1055/s-0042-1744263