Controlling Bleeding From Proximal and Coronary Ostial Anastomoses By Using Blood Cardioplegia Delivering Antegradely While Performing Bentall Procedure
Ayşe Gül Kunt, Mustafa Emir, Mete Hıdıroğlu, Leven Çetin, Erhan Renan Uçaroğlu, Erol Şener
Keywords: Cardiopulmonary bypass; cardioplegic solutions; hemorrhage.
Bentall procedure is one of the valved conduit techniques which is used in the treatment of aortic valve diseases accompanied by ascending aortic aneurysm and dissection and it is used commonly around the world. In Bentall procedure, which is a complicated and long surgery, the rate of mortality and morbidity are not only related to the operation itself but also to the complications like major neurological events, myocardial damage and bleeding which take place during the intraoperative and postoperative period. Although the quantity and frequency of bleeding is declined with teflon strips and biological tissue glues, modifications of Bentall procedure are still an important problem. This study was conducted retrospectively with 48 patients in terms of early results of complication of bleeding caused specifically by proximal suture line and coronary ostium anastomosis lines controlled by the method of blood cardioplegia while performing Bentall procedure and supracoronary aort replacement in our clinic.