"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:

1. Removal of the native aortic valve and the preparation of the coronary ostium. 
2. Single suture implant of freestyle aortic root prosthesis (the authors used a continuous suture, but interrupted U-stitches with pledgets could also be used).
3. Coronary ostium reimplantation of the freestyle aortic root.
4. Ascending aorta replacement using a straight Dacron graft.