Available literature has suggested that thoracic endovascular aortic repair (TEVAR) may be an option for selected patients ; however, the data have been limited to case reports and series, none of which to our knowledge were in patients after the Bentall procedure
. Therapy for these patients previously has been restricted to redo sternotomy and aortic repair with high morbidity and mortality.
We report the case of a 45-year-old woman with ESLD and ascending aortic aneurysm with severe aortic valve insufficiency who underwent simultaneously modified Bentall procedure
The patient's aortic root was replaced with a prosthetic graft in what's called a Bentall procedure
. The graft comes as a composite conduit - in one end of the conduit, there's an aortic valve.
Initial 28 patients underwent the Classical Bentall Procedure
and in the last 31 patients Copeland's modification of Bentall procedure
After successful resection, a modified Bentall procedure
was used to replace the aortic root along with the aortic valve via a porcine bioprosthesis, reimplant the coronary vessels, reconstruct the interventricular septum, the RVOT, and repair the tricuspid valve.
Once the patient was stabilized, on the fourth postoperative day, the patient was taken for Bentall procedure
. This was carried out with routine right atrium and ascending aorta cannulations, so that distal perfusion was well maintained.
Background and Objectives: Modified Bentall procedure
has become a gold standard in the treatment of combined aortic root and aortic valve diseases.
Composite graft implantation with mechanical valve (Bentall procedure
) can be performed if the aortic root, coronary orifices and aortic valve are involved.
He subsequently underwent a CT coronary angiogram which was normal followed by Bentall procedure
using 25 mm Medtronic Hall valved conduit prosthesis.
The patient subsequently underwent modified Bentall procedure
. This involved graft replacement of the aortic root, replacement of the aortic valve using a 27 mm bioprosthesis (St.
The three-in-one procedure required doctors to perform a unique Bentall procedure
and a coronary artery bypass graft .
Although rare, an association between pregnancy and aortic dissection has been reported.1 We report the management for a scheduled cesarean section of a 38-year-old woman with Marfan' syndrome who previously had successful Bentall procedure
to repair her aortic aneurysm and replace her aortic valve during the 21th week of her pregnancy.