Department of Cardiac Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Department of Cardiac Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Heart Lung Circ. 2021 Oct;30(10):e109-e111. doi: 10.1016/j.hlc.2021.05.073. Epub 2021 Jun 1.
The combination of interrupted and running sutures was initially introduced as a tandem suture line to improve haemostasis in the modified Bentall procedure. These techniques basically consist of two suturing techniques. This paper reports the "Double Cuff" technique, which uses only one interrupted suture with a double-folded layer between the aortic remnant wall of Valsalva and the aortic ring and a double-folded layer on the composite graft side to ensure absolute proximal annular haemostasis. The proximal side of the composite graft is made by fashioning a double layer, in which the graft is everted inside and sutured with the prosthetic valve. The "Double Cuff" technique is a simple, reproducible and durable method for ensuring haemostasis and should be considered as a supplementary procedure for proximal anastomosis.
间断缝合与连续缝合的联合最初被引入改良 Bentall 手术中作为串联缝线以加强止血效果。这些技术基本上由两种缝合技术组成。本文报告了一种“双袖口”技术，该技术仅使用一条间断缝线，在 Valsalva 主动脉窦残端壁与主动脉环之间形成双层折叠，以及在复合移植物侧形成双层折叠，以确保绝对的近端环状止血。复合移植物的近端部分通过形成双层来制作，其中移植物被翻折到内侧并用人工瓣膜缝合。“双袖口”技术是一种简单、可重复和持久的方法，可确保止血效果，应被视为近端吻合的辅助程序。
