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"Biological Bentall" Procedure
In this video, the authors present their technique for aortic root replacement using a freestyle aortic root prosthesis and a Dacron graft, thus achieving a "Biological Bentall." This technique could be extremely beneficial for all patients requiring a classical Bentall procedure, but with specific indications for a biological solution. This video shows the full technique in a patient who also required myocardial revascularization.
The steps of the Biological Bentall technique are:
- Removal of the native aortic valve and the preparation of the coronary ostium.
- Single suture implant of freestyle aortic root prosthesis (the authors used a continuous suture, but interrupted U-stitches with pledgets could also be used).
- Coronary ostium reimplantation of the freestyle aortic root.
- Ascending aorta replacement using a straight Dacron graft.