Operative results of simultaneous replacement of aortic valve and ascending aorta

: As a surgical treatment of ascending aortic aneurysm with aortic valve regurgitation, we employed Bentall's procedure in 6 cases, Cabrol's procedure in 6 cases, Cabrol's procedure in 3 cases and Carrel patch technique in 2 cases. No hospital mortality was recorded. Late complications were noted in 2 patients. A graft dehiscence of the anastomosis of the right coronary artery occurred in 1 patient with Cabrol's procedure, 3 months postoperatively. In another patient with Bentall's procedure, enlargement of the dissected false lumen at the distal aortic arch necessitated surgical repair in other hospital, 4 years and 4 months after primary repair. All of the surviving patients showed improvement in cardiac function and their clinical status. We have frequently experienced troublesome intraoperative bleeding in applying Bentall's procedure and Cabrol's procedure also. However, hemostatic control was permitted by Cabrol's trick. We are satisfied with the results obtained by Carrel patch technique. This technique facilitates secure coronary anastomosis and definitive hemostasis is attained.