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Mini-Bentall Procedure and Hemiarch Replacement

Wednesday, November 12, 2014

By

Tristan D. Yan

This video presents the case of a 52-year-old man who was found to have a leaking bicuspid aortic valve and a 5.2 cm aneurysm extending from the aortic root to the proximal arch. He underwent a minimally invasive aortic root replacement (Mini-Bentall procedure) and hemiarch replacement via a 7 cm access incision. He was extubated in the operating room immediately after the surgery. The patient had an enhanced postoperative recovery and was discharged home on postoperative day six.

Comments

Submitted by Georgios Belitsis on
Congratulations for the beautiful operation. Thank you for sharing with us. For how long do you fill comfortable working on the 25 Celsius and Total Circ Arrest (TCA)? For which periods of TCA do you cool down to 18 Celsius?
Submitted by Tristan D. Yan on
Hypothermic Circulatory Arrest. Thank you for your comments. 15 minutes and 30 minutes, respectively. I would always use selective antegrade cerebral perfusion whenever possible.
Submitted by Lorenzo Menicanti on
Elegant procedure, it is amazing that reducing the sternotomy of 10 cm, the time of intubation is reduced of several hours. It will be very interesting to do a study to compare the length of sternotomy and the duration of intubation.
Submitted by Ertekin Unal on
Great video Dr.Yan, Have you ever experienced percutaneous retrograde coronary cannula at minimal invasive procedures? Which one do you recommend, retrograde or using only selective coronary antegrade cardioplegia? Thanks for sharing.
Submitted by Tristan D. Yan on
Axillary Cannulation is an alternative perfusion strategy. It can be done via a 2.5 cm incision. I would like to share this video clip with you - https://www.youtube.com/watch?v=oRJTw2EYCJA

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