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A Simple Method of Inspection of Proximal Bleeding in Bentall Procedure

Department of Cardiovascular Surgery, Gifu Prefectural Tajimi Hospital Tajimi
¹ Department of Cardiothoracic Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan

For reprint information contact: Min-Ho Song, MD, Tel: 81 572 225 311, Fax: 81 572 251 326, Email: p41558{at}govt.pref.gifu.jp, Department of Cardiovascular Surgery, Gifu Prefectural Tajimi Hospital, 5-161 Maebata-cho, Tajimi, Gifu, 507-8522, Japan.

A simple method of checking for bleeding from the proximal anastomosis site in Bentall operations is described. After suturing a Carbo-Seal prosthesis to the aortic annulus, using a folding-over technique, the left ventricle is filled with cardioplegic solution through the prosthetic valve, and the heart is massaged to visualize possible leaks at the level of the suture.