MMCTS
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MMCTS (December 4, 2003). doi:10.1510/MMCTS.2003.000001
Copyright © 2003 European Association for Cardio-thoracic Surgery

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Right arrow Ascending aorta and arch
 

Procedure


Composite graft replacement of the aortic root: ‘button’ technique

Marko Turina*

University Hospital Zurich, Clinic for Cardiovascular Surgery, Rämistrasse 100, CH-8091 Zurich, Switzerland

* Corresponding author: Tel.: +41-1-2553298; fax: +41-1-2554446, Email: marko.turina{at}usz.ch

Presentation of the ‘button’ technique for composite graft replacement of the aortic root: dilated ascending aorta is removed, both coronary ostia are dissected free, a composite graft is fixed to the aortic annulus with interrupted mattress sutures, coronary arteries are implanted into the graft with a running stitch, and distal portion of the graft is connected to the distal aorta by means of a running suture. Additional techniques for improvement of hemostasis are shown, and an overview of the literature is presented.

Key Words: Composite graft • ascending aorta

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Copyright © 2003 by The European Association for Cardio-thoracic Surgery.