The Journal of Thoracic and Cardiovascular Surgery
Volume 137, Issue 5 , Pages 1082-1087 , May 2009

Re-creation of a sinuslike graft expansion in Bentall procedure reduces stress at the coronary button anastomoses: A finite element study

Received 8 May 2008 ,Revised 24 August 2008 ,Accepted 10 October 2008.

References 

  1. Bentall H, De Bono A. A technique for complete replacement of the ascending aorta. Thorax. 1968;23:338–339
  2. Cabrol C, Pavie A, Mesnildrey P, Gandjbakhch IG, Laughlin L, Bors B, et al. Long-term results with total replacement of the ascending aorta and reimplantation of the coronary arteries. J Thorac Cardiovasc Surg. 1986;91:17–25
  3. Westaby S, Cecil B. Surgery of the thoracic aorta. In:  Westaby S editors. Landmarks in cardiac surgery. Oxford: Isis Medical Media; 1997;p. 223
  4. Kouchoukos NT, Karp RB. Resection of ascending aortic aneurysm and replacement of aortic valve. J Thorac Cardiovasc Surg. 1981;81:142–143
  5. Tan ME, Dossche KM, Morshuis WJ, Knaepen PJ, Defauw JJ, van Swieten HA, et al. Operative risk factors of type A aortic dissection: analysis of 252 consecutive patients. Cardiovasc Surg. 2003;11:277–285
  6. De Paulis R, De Matteis GM, Nardi P, Scaffa R, Colella DF, Chiarello L. A new aortic Dacron conduit for surgical treatment of aortic root pathology. Ital Heart J. 2000;1:457–463
  7. Pacini D, Settepani F, De Paulis R, Loforte A, Nardella S, Ornaghi D, et al. Early results of valve-sparing reimplantation procedure using the Valsalva conduit: a multicenter study. Ann Thorac Surg. 2006;82:865–872
  8. De Paulis R, Bassano C, Scaffa R, Nardi P, Bertoldo F, Chiariello L. Bentall procedures with a novel valved conduit incorporating “sinuses of Valsalva.”. Surg Technol Int. 2004;12:195–200
  9. Grande KJ, Cochran RP, Reinhall PG, Kunzelman KS. Stress variations in the human aortic root and valve: the role of anatomic symmetry. Ann Biomed Eng. 1998;26:534–545
  10. Votta E, Maisano F, Bolling SF, Alfieri O, Montevecchi FM, Redaelli A. The Geoform disease-specific annuloplasty system: a finite element study. Ann Thorac Surg. 2007;84:92–101
  11. Grande-Allen KJ, Cochran RP, Reinhall PG, Kunzelman KS. Re-creation of sinuses is important for sparing the aortic valve: a finite element study. J Thorac Cardiovasc Surg. 2000;119(4 Pt 1):753–763
  12. Zienckiewicz O, Cheung Y. The finite element method in structural and continuum mechanics: numerical solution of problems in structural and continuum mechanics. 1st ed.. London: McGraw-Hill; 1967;
  13. Dobrin PB. Vascular Mechanics. In:  Shepherd JT,  Abound F editor. Handbook of physiology. Vol 3:Washington, DC: American Physiological Society; 1983;p. 65–102
  14. Klamath S, Stupors P, Silver HE. Non invasive assessment of aortic mechanical properties. Ann Biomed Eng. 1986;14:512–524
  15. Vesely I, Broughner D. Micromechanics of the fibrosa and the ventricularis in aortic valve leaflets. J Biomech. 1992;101–113
  16. Abbott WM, Cambria RP. Control of physical characteristics (elasticity and compliance) of vascular grafts. In:  Stanley JC editors. Biologic and synthetic vascular prostheses. New York: Grune & Stratton; 1982;p. 59–78
  17. Edwards WS, Snyder RW, Botzko K, Larkin J. Comparison and durability of tensile strength of Teflon and Dacron grafts. In:  Dardik H editors. Graft materials in vascular surgery. Chicago: Symposia Specialists Inc; 1978;p. 59–78
  18. King MW, Guidoin RG, Gunasekera KR, Gosselin C. Designing polyester vascular prostheses for the future. Med Prog Technol. 1983;9:217–226
  19. Richens D, Field M, Hashim S, Neale M, Oakley C. A finite element model of blunt traumatic aortic rupture. Eur J Cardiothorac Surg. 2004;25:1039–1047
  20. Neveux JY, Dervanian P, Folliguet TA, Macé L, Guluta V. Technical modification for anastomosis of low-lying coronary ostia in Bentall procedure. Ann Thorac Surg. 1993;56:383–384
  21. Mills NL, Morgenstern DA, Gaudiani VA, Ordoyne F. “Legs” technique for management of widely separated coronary arteries during ascending aortic repair. Ann Thorac Surg. 1996;61:869–874
  22. Westaby S, Katsumata T, Vaccari G. Coronary reimplantation in aortic root replacement: a method to avoid tension. Ann Thorac Surg. 1999;67:1176–1177
  23. Svensson LG, Crawford ES, Hess KR, Coselli JS, Safi HJ. Composite valve graft replacement of the proximal aorta: comparison of techniques in 348 patients. Ann Thorac Surg. 1992;54:427–437
  24. Panos A, Amahzoune B, Robin J, Champsaur G, Ninet J. Influence of technique of coronary artery implantation on long-term results in composite aortic root replacement. Ann Thorac Surg. 2001;72:1497–1501

PII: S0022-5223(08)01691-7

doi: 10.1016/j.jtcvs.2008.10.013

The Journal of Thoracic and Cardiovascular Surgery
Volume 137, Issue 5 , Pages 1082-1087 , May 2009

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