Why the study?
Bleeding from the proximal suture line following aortic root replacement can be challenging to control and predicts morbidity and mortality.
Does an overlap suture technique prevent surgical bleeding from the proximal suture line during the Bentall procedure?
Does an overlap suture technique prevent surgical bleeding from the proximal suture line during the Bentall procedure?
An overlap suture technique using pledgeted interrupted U-stitches may effectively prevent proximal suture line bleeding during the Bentall procedure.
May aid control of proximal suture-line bleeding after aortic root replacement; leaves open the need for comparative validation before adoption.
Bleeding from the proximal suture line after replacement of the aortic root can be very difficult to control. Such bleeding is an important predictor of morbidity and mortality. Here, we detail a reliable method that is simple to perform and effectively prevents surgical bleeding. We adopted a technique of overlapping the pledgeted interrupted U-stitches of the proximal sutures on the prosthetic graft, which can eliminate the bleeding from the proximal suture line.
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Kasai et al. (2020) studied this question.
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