"Micro-Bentall" procedure

Multimed Man Cardiothorac Surg. 2020 Dec 24:2020. doi: 10.1510/mmcts.2020.079.

Abstract

Truncus arteriosus, an anomaly of the conotruncus, is an extremely rare congenital heart disease that affects 1.19% of all patients with congenital heart diseases. We present a surgical technique using an 8-mm cryopreserved aortic root homograft in the aortic position and a 12-mm pulmonary valved conduit in the right position that allowed us to correct this rare congenital malformation. The cryopreserved aortic root homograft was considered a priority option for surgical correction. The neonatal Bentall (micro-Bentall) procedure is a surgically demanding procedure but can be performed successfully by an experienced surgeon. If we were performing a non-salvage procedure, we would have chosen a decellularized allograft.

Keywords: Bentall procedure; Homograft; Neonate; Truncus arteriosus.

Publication types

  • Case Reports
  • Video-Audio Media

MeSH terms

  • Aorta, Thoracic / transplantation*
  • Cardiac Surgical Procedures / methods*
  • Cryopreservation / methods*
  • Echocardiography / methods
  • Humans
  • Infant, Newborn
  • Transplantation, Homologous
  • Truncus Arteriosus, Persistent / diagnosis
  • Truncus Arteriosus, Persistent / surgery*