Abstract
Since the initial description of the composite valve-graft technique for repair of aneurysms of the aortic root and ascending aorta with associated aortic valve disease by and De Bono in 1968, modifications have been introduced to reduce the risks of major bleeding and false aneurysm formation that were associated with this procedure. Currently, the most widely used modification involves excision of the aortic valve, aortic root, and ascending aorta, suture of a composite graft into the aortic root and to the ascending aorta, mobilization of the coronary arteries with a small rim of aortic tissue, and anastomosis of the arteries to openings in the aortic graft. This has been termed the Button Bentall procedure, and is presented herein.
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