Perspective. Reoperative Bentall: choice of conduits

Giuseppe Filiberto Serraino; Marco Zanobini; Cesare Beghi; Daniele Maselli; Mohamad Bashir; Pasquale Mastroroberto; Giovanni Mariscalco

doi:10.1007/s12055-017-0607-x

Perspective. Reoperative Bentall: choice of conduits

Indian J Thorac Cardiovasc Surg. 2019 Jun;35(Suppl 2):127-129. doi: 10.1007/s12055-017-0607-x. Epub 2017 Nov 13.

Authors

Giuseppe Filiberto Serraino¹, Marco Zanobini², Cesare Beghi³, Daniele Maselli⁴, Mohamad Bashir⁵, Pasquale Mastroroberto¹, Giovanni Mariscalco⁶

Affiliations

¹ Department of experimental and clinical medicine, University Magna Graecia of Catanzaro, Germaneto, Catanzaro Italy.
² Cardiac Surgery Department, IRCCS Cardiologico Monzino, Milan, Italy.
³ Cardiac Surgical Department, Insubria University of Varese, Varese, Italy.
⁴ Cardiac Surgical Department, S.Anna Hospital, Catanzaro, Italy.
⁵ Cardiothoracic Surgery, Barts Health NHS Trust, London, UK.
⁶ Department of Cardiovascular Sciences, University of Leicester, Glenfield Hospital Groby Road, Leicester, UK.

Abstract

The Bentall procedure represents the gold standard in the treatment of patients requiring aortic root replacement. The most common indications for redo Bentall are structural degeneration or graft infection. Redo aortic root replacement can be performed with low perioperative morbidity and death. The choice of the best conduit is still up for debate but is mandatory to guarantee the best and most durable option for the patient. New options are available to reduce mortality in older or fragile patients and can modify the conduit choice.

Keywords: Bentall operation; Conduit choice; Root operation.