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Single-Stage Repair of a Critical aortic Coarctation, a Bicuspid aortic Stenosis and an ascending aortic aneurysm

World Journal of Cardiovascular Surgery 2016年第5期6卷 73-78页

作者： Siham Bellouize Younes Moutakiallah Mahdi Ait Houssa Aniss Seghrouchni Noureddine Atmani Mohamed Drissi Abdedaïm Hatim Ilyass Asfalou Jamal El Fenni Abdelatif Boulahya Department of Cardiovascular Surgery Mohammed V Teaching Military Hospital Rabat Morocco Faculty of Medicine and Pharmacy of Rabat Mohammed V University Rabat Morocco Intensive Care of Cardiovascular Surgery Mohammed V Teaching Military Hospital Rabat Morocco Department of Cardiology Mohammed V Teaching Military Hospital Rabat Morocco Department of Radiology Mohammed V Teaching Military Hospital Rabat Morocco

We report a 26-year-old man with critical aortic coarctation, severe bicuspid aortic valve stenosis, infective endocarditis and ascending aortic aneurysm. He underwent simultaneously in singlestage a Bentall’s procedure and an extra-anatomic ascending-descending aortic bypass grafting by 14-mm Dacron tube, through median sternotomy. The immediate postoperative outcome was favourable. The CT scan control for 7 years after surgery showed a good patency of the extra-anatomic bypass.

关键词： aortic Coarctation Bicuspid aortic Stenosis ascending aortic aneurysm Single Stage Extra-Anatomic Bypass

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Surgical techniques for improving hemostasis during Bentall procedure

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Journal of Medical Colleges of PLA(China) 2009年第2期24卷 99-104页

作者： Peng Hao Xu Zhifei Zhao Xuewei Wu Lihui Xue Lei Chen Xiaofang Department of Thoracic and Cardiovascular Surgery Changzheng Hospital Second Military Medical University Shanghai 200003 China

Objective:To evaluate the effect of modified surgical techniques on hemostasis used in aortic root replacement with a composite graft(Bentall procedure).Methods:Data on 15 patients who underwent Bentall procedure during 2005 to 2007 were *** first 5 patients(Group 1) received the standard *** next 10 patients(Group 2) received the modified *** including "tandem suture line","endo-button buttress","sandwich anastomosis" and "left ventricle filling" were added to the standard *** bleeding and the volume of blood transfusion required were compared to estimate hemostasis in different ***:Between groups 1 and 2,a significant difference was found in postoperative bleeding [(2193±383) ml vs(1012±258) ml,respectively;P<0.05] and in volume of blood transfusion required [(7242±1416) ml vs(2520±708) ml,respectively;P<0.05].Conclusion:The modified surgical techniques used in our study are effective in the improvement of the hemostasis in Bentall procedure.

关键词： ascending aortic aneurysm Bentall procedure Hemostasis

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