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J Thorac Cardiovasc Surg 2009;138:770-771
© 2009 The American Association for Thoracic Surgery

Brief Technique Report

The treatment of recurrent aortic prosthetic detachment with modified Bentall procedure: Results of two cases

Chong Zhang, MD, Yiming Ni, MD*, Liping Shi, MD, Tao Jin, MD

Department of Thoracic and Cardiovascular Surgery, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, China

Received for publication March 23, 2008; revisions received May 4, 2008; accepted for publication May 20, 2008.

* Address for reprints: Yiming Ni, MD, Department of Thoracic and Cardiovascular Surgery, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou 310003, China. (Email: haiyanzhangchong@163.com).

The first 20% of the full text of this article appears below.


   Introduction
 
Recurrent prosthetic valve detachment after aortic valve replacement (AVR) for aortic regurgitation is a most serious complication. Endocarditis, aortitis, or other factors are the common causes. AVR or repair of the detachment are usually difficult to manage and still have a high detachment rate. We report 2 cases of successful surgical management with the translocated Bentall procedure for recurrent aortic valve detachment resulting from indefinite causes.


   Patients and Methods
 
Two male patients, 33 and 55 years of age, with severe aortic regurgitation were treated in our institute in 2006. The clinical and radiologic findings excluded endocarditis and common aortitis. We performed AVR with the CarboMedics mechanical bileaflet prosthesis (Sulzer CarboMedics, Inc, Austin, Tex) and used 15 double-needled interrupted 2-0 synthetic braided pledget-supported sutures, which were left on the ventricular side. The operative and pathologic findings supported the diagnosis of aortic myxomatous degeneration and also further excluded endocarditis and common aortitis. Unfortunately, the valve became detached from the . . . [Full Text of this Article]


Related Article

Treatment of recurrent aortic prosthetic detachment with modified Bentall procedure
Frank A. Baciewicz, Jr.
J. Thorac. Cardiovasc. Surg. 2010 139: 804. [Extract] [Full Text] [PDF]



This article has been cited by other articles:


Home page
 J. Thorac. Cardiovasc. Surg.Home page
F. A. Baciewicz Jr.
Treatment of recurrent aortic prosthetic detachment with modified Bentall procedure.
J. Thorac. Cardiovasc. Surg., March 1, 2010; 139(3): 804 - 804.
[Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
C. Zhang, Z. Tu, and Y. Zhu
Reply to the Editor
J. Thorac. Cardiovasc. Surg., March 1, 2010; 139(3): 804 - 805.
[Full Text] [PDF]


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