AI Article Synopsis
- A new method for treating residual aneurysms after the Bentall procedure was introduced, involving a concentric circular patch technique during surgery.
- Six patients underwent this procedure at Beijing Anzhen Hospital, with successful outcomes and clinical recovery noted post-surgery.
- Follow-up CT scans showed complete resolution of the aneurysm, indicating that this method is a viable treatment option.
Article Abstract
To introduce a new operative method for residual aneurysm of coronary anastomosis after Bentall procedure. Between March 2011 and December 2012, six patients in Beijing Anzhen Hospital with residual aneurysm of coronary anastomosis (CT showed goldfish eye sign at the openings of coronary) after Bentall procedure underwent the operation of concentric circular patch procedure under cardiopulmonary bypass. Femoral artery, right atrium and upper right pulmonary artery cannulation were used for cardiopulmonary bypass, and the artificial vessel was transected after cardiac arrest. A concentric circular patch was pruned, whose outside diameter was slightly larger than the aneurysm and the inside diameter was equal to the openings of coronary. The outer edge of the patch was anastomosed to the outer edge of the aneurysm (opening of artificial vessel in primary surgery) with 4-0 prolene. The inner edge of the patch was anastomosed to the openings of coronary with 5-0 prolene. All patients had clinical recovery. Postoperative CT demonstrated the disappearance of residual aneurysm during follow-up (the goldfish eye sign disappeared). The concentric circular patch procedure is a feasible treatment for residual aneurysm of coronary anastomosis.
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| http://dx.doi.org/10.3760/cma.j.issn.0376-2491.2017.20.018 | DOI Listing |
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