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Svensson's (Modified Bentall) Technique using a Long Interposed Graft for Left Coronary Artery Reconstruction

  • Atsushi Nakahira
  • Yasuyuki Sasaki
  • Hidekazu Hirai
  • Masanori Sakaguchi
  • Manabu Motoki
  • Shinsuke Kotani
  • Koji Hattori
  • Toshihiko Shibata
  • Shigefumi Suehiro
Conference paper

Backgrounds: Aortic root replacement remains challenging in coronary artery reconstructions.

Methods: From 1992, 40 patients (54.7±13.6 years; 4 with Marfan syndrome) underwent Svensson's technique, 11 of whom had histories of proximal aortic operations. The technique included coronary ostial reconstructions of the right with the buttons's technique and the left with a long interposed graft (8 or 10 mm) anastomosed anteriorly in the composite graft. The technical advantages are unnecessary dissection around the left coronary artery, minimal tension and easy visualization of all anastomoses. Indications were annulo-aortic ectasia (n = 26), acute/chronic aortic dissection (n = 6 and 2), infective endocarditis (n = 5) and aortic stenosis with porcelain aorta (n = 1).

Keywords

Aortic Stenosis Infective Endocarditis Aortic Dissection Left Coronary Artery Marfan Syndrome 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Copyright information

© Springer 2009

Authors and Affiliations

  • Atsushi Nakahira
    • 1
  • Yasuyuki Sasaki
    • 1
  • Hidekazu Hirai
    • 1
  • Masanori Sakaguchi
    • 1
  • Manabu Motoki
    • 1
  • Shinsuke Kotani
    • 1
  • Koji Hattori
    • 1
  • Toshihiko Shibata
    • 2
  • Shigefumi Suehiro
    • 1
  1. 1.Department of Cardiovascular SurgeryOsaka City University Graduate School of MedicineSaitamaJapan
  2. 2.Department of Cardiothoracic SurgeryKansai Rosai HospitalSaitamaJapan

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