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CC BY 4.0 · Aorta (Stamford) 2020; 08(01): 018-020
DOI: 10.1055/s-0039-1700998
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American Academy of Audiology. All rights reserved. (2020) American Academy of Audiology

Hemostatic Modification of the Bentall Procedure Using an Overlap Suture Technique

Mio Kasai 
1   Department of Cardiovascular Surgery, Keio University School of Medicine, Shinjuku, Tokyo, Japan
,
Akihiro Yoshitake
1   Department of Cardiovascular Surgery, Keio University School of Medicine, Shinjuku, Tokyo, Japan
,
Hideyuki Shimizu
1   Department of Cardiovascular Surgery, Keio University School of Medicine, Shinjuku, Tokyo, Japan
› Author Affiliations Funding None.
Further Information

Publication History

09 April 2018

02 November 2019

Publication Date:
29 June 2020 (online)

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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.

Keywords

hemostatic modifications - Bentall - overlap suture technique
 

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