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Eur J Cardiothorac Surg 2005;27:720-721
© 2005 Elsevier Science NL

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Pericardial sewing-cuff: an alternative surgical technique for full-root implantation of aortic allograft and pulmonary autograft

Teheran University of Medical Science, Iman Khomeini Hospital, Cardiac Surgery and Thoracic Transplantation department, Teheran, Iran

Received 5 October 2004; received in revised form 20 December 2004; accepted 27 December 2004.

^* Corresponding author. Address: 126 rue de Picpus, 75012 Paris; France. Tel./fax: +33 1 43 46 53 39. (E-mail: mathias.aazami{at}lapote.net).

The following is a description of a modified technique for the reinforcement of proximal anastomosis regarding the process of aortic allograft or pulmonary autograft full root implantation. A double width pericardial strip is used to create a pericardial sewing-cuff to be used as a neo-ring. This technique is said to be best suited for decreasing the operative bleeding, reducing anastomotic pitfalls and concomitant repair of the aortic annulus.

Key Words: Allograft • Autograft • Heart valve, allograft • Heart valve, autograft • Aortic valve