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Peer-reviewedCC BYJournal of surgical case reports

A re-tightening suture technique for hemostasis during aortic root remodeling in chronic DeBakey type II aortic dissection.

  • Atsutaka Aratame1
  • Takashi Kunihara2
  • Daisuke Kaku1
  • Toshio Baba1
  1. 1Department of Cardiovascular Surgery, Bell-Land General Hospital, 500-3 Higashiyama, Naka-ku, Sakai, Osaka 599-8247, Japan.
  2. 2Department of Cardiac Surgery, The Jikei University School of Medicine, 3-25-8 Nishishinbashi, Minato-ku, Tokyo 105-8461, Japan.
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Abstract

We report a 45-year-old man with chronic DeBakey type II aortic dissection, a sinus of Valsalva aneurysm, and severe aortic regurgitation. His atopic dermatitis remained poorly controlled despite topical corticosteroids and injectable anti-inflammatory therapy and he occasionally experienced cutaneous bleeding from unconscious scratching during sleep. He therefore wished to avoid long-term anticoagulation. Valve-sparing root replacement using root remodeling with external annuloplasty was performed. Bleeding from the proximal continuous suture line was controlled using a re-tightening suture technique that lifted the bleeding point, facilitated placement of an additional mattress suture, and secured the redundant continuous suture under renewed tension. Postoperative imaging showed satisfactory root geometry and no residual aortic regurgitation. This technique may provide a simple and reproducible method for controlling difficult suture-line bleeding during root remodeling.

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Cite

BibTeXRIS
BibTeX
@article{aratame2026retightening,
  title = {{A re-tightening suture technique for hemostasis during aortic root remodeling in chronic DeBakey type II aortic dissection.}},
  author = {Atsutaka Aratame and Takashi Kunihara and Daisuke Kaku and Toshio Baba},
  journal = {Journal of surgical case reports},
  year = {2026},
  month = oct,
  doi = {10.1093/jscr/rjag954},
  url = {https://europepmc.org/article/MED/42948786},
  note = {CC BY},
}
RIS
TY  - JOUR
TI  - A re-tightening suture technique for hemostasis during aortic root remodeling in chronic DeBakey type II aortic dissection.
AU  - Atsutaka Aratame
AU  - Takashi Kunihara
AU  - Daisuke Kaku
AU  - Toshio Baba
PY  - 2026
DA  - 2026/10/27
JO  - Journal of surgical case reports
DO  - 10.1093/jscr/rjag954
UR  - https://europepmc.org/article/MED/42948786
AB  - We report a 45-year-old man with chronic DeBakey type II aortic dissection, a sinus of Valsalva aneurysm, and severe aortic regurgitation. His atopic dermatitis remained poorly controlled despite topical corticosteroids and injectable anti-inflammatory therapy and he occasionally experienced cutaneous bleeding from unconscious scratching during sleep. He therefore wished to avoid long-term anticoagulation. Valve-sparing root replacement using root remodeling with external annuloplasty was performed. Bleeding from the proximal continuous suture line was controlled using a re-tightening suture technique that lifted the bleeding point, facilitated placement of an additional mattress suture, and secured the redundant continuous suture under renewed tension. Postoperative imaging showed satisfactory root geometry and no residual aortic regurgitation. This technique may provide a simple and reproducible method for controlling difficult suture-line bleeding during root remodeling.
SN  - 2042-8812
ER  -