Jy. Neveux et al., TECHNICAL MODIFICATION FOR ANASTOMOSIS OF LOW-LYING CORONARY OSTIA INBENTALL PROCEDURE, The Annals of thoracic surgery, 56(2), 1993, pp. 383-384
Bentall procedure is not advisable when the origins of the coronary ar
tery ostia cannot reach the composite valve graft at a satisfactory le
vel for direct reimplantation. The other alternatives to coronary arte
ry ostia reimplantation have some disadvantages. A technical modificat
ion of the Bentall procedure, successfully used in 3 patients and allo
wing direct coronary reimplantation without any tension on the suture
line, is described.