Bentall procedure in Takayasu arteritis

Methods A 38 years old man with diagnose of Takayasu arteritis was admitted to our hospital with chest pain. Echocardiography revealed severe aortic regurgitation + ascending aorta dilatation. Computed tomographic angiography showed ascending aorta was 44 mm. He was scheduled for elective cardiac operation. His medication was adjusted as Addison protocol for operation. Axillary artery cannulation and median sternotomy was performed. Ascending aorta was aneursymatic up to truncus brachiocephalicus. Coronary ostia were prepared as buttons. Aortic valve and ascending aorta was resected and replaced with a valved conduit including a 25 # St Jude mechanical prosthetic valve and 30 mm Dacron tube graft. The left and the right coronary ostia were anastomosed on the Dacron tube graft. Bentall procedure was completed with the distal anastomosis of Dacron graft strengthened with Teflon strip to aorta beyond truncus cephalicus. Cardiopulmonary bypass was terminated without inotropic support.