This video demonstrates a mini-bentall procedure, where an aortic root replacement with re-implantation of the coronary buttons is performed via a minimally invasive approach. The patient, a body builder, was found to have a leaking pseudo-unicuspid aortic valve, a 4.5 cm aortic root aneurysm, and a 4.5 cm mid-ascending aortic aneurysm. An aortic root and ascending aortic replacement via hemi-sternotomy was performed. There was no blood transfusion, and the patient was extubated on the table in the operating theater 20 minutes after the surgery. He was discharged home one week after the procedure without any complications.
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3 Comments
Thanks for the interesting video
smart utilisation of both hands. Great work ! I use custodial cardioplegia for minimally invasive aortic work. What is your method of myocardial protection ?
Thank you for your comments. I just use cold blood cardioplegia, given antegradely via coronary ostial catheters every 20 minutes.