{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T12:03:35Z","timestamp":1753877015068,"version":"3.41.2"},"reference-count":9,"publisher":"Oxford University Press (OUP)","issue":"7","license":[{"start":{"date-parts":[[2025,6,26]],"date-time":"2025-06-26T00:00:00Z","timestamp":1750896000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,7,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>The valve-in-valve procedure is an alternative to the redo surgery for structural valve deterioration following the Bio-Bentall. However, the risk of coronary obstruction and the feasibility of this approach remain unclear. Using computed tomography, we compared the aortic root geometry of 14 consecutive patients (13 true aortic aneurysms) with Bio-Bentall between April 2011 and April 2024 preoperatively and postoperatively. The Piehler technique was used in all coronary artery reconstructions. During the follow-up period, no reconstructive coronary events or valve-related reoperations were observed. The coronary height was 17.7\u2009\u00b1\u20095.6\u2009mm preoperatively versus 18.8\u2009\u00b1\u20094.4\u2009mm postoperatively for the left coronary artery (P\u2009= \u20090.49) and 15.4\u2009\u00b1\u20099.6\u2009mm preoperatively versus 22.6\u2009\u00b1\u20097.4\u2009mm postoperatively for the right coronary artery (P\u2009&amp;lt; \u20090.01). No patients at risk of coronary obstruction associated with valve-in-valve were identified. One case of severe aortic graft kinking due to excessive graft length, which could contraindicate the valve-in-valve procedure, was observed. Our findings suggested that the Piehler technique may facilitate future valve-in-valve implantation after Bio-Bentall because it allows for a higher-positioned orifice of the reconstructive coronary artery.<\/jats:p>","DOI":"10.1093\/icvts\/ivaf150","type":"journal-article","created":{"date-parts":[[2025,6,26]],"date-time":"2025-06-26T12:52:26Z","timestamp":1750942346000},"source":"Crossref","is-referenced-by-count":0,"title":["Evaluation of coronary heights after Bio-Bentall using Piehler technique"],"prefix":"10.1093","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0306-3758","authenticated-orcid":false,"given":"Kimihiro","family":"Kobayashi","sequence":"first","affiliation":[{"name":"Second Department of Surgery, Faculty of Medicine, Yamagata University , 2-2-2 Iidanishi, Yamagata, 990-9585,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0140-3894","authenticated-orcid":false,"given":"Yoshinori","family":"Kuroda","sequence":"additional","affiliation":[{"name":"Second Department of Surgery, Faculty of Medicine, Yamagata University , 2-2-2 Iidanishi, Yamagata, 990-9585,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3476-2869","authenticated-orcid":false,"given":"Masahiro","family":"Mizumoto","sequence":"additional","affiliation":[{"name":"Second Department of Surgery, Faculty of Medicine, Yamagata University , 2-2-2 Iidanishi, Yamagata, 990-9585,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6218-3082","authenticated-orcid":false,"given":"Jun","family":"Hayashi","sequence":"additional","affiliation":[{"name":"Second Department of Surgery, Faculty of Medicine, Yamagata University , 2-2-2 Iidanishi, Yamagata, 990-9585,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shuto","family":"Hirooka","sequence":"additional","affiliation":[{"name":"Second Department of Surgery, Faculty of Medicine, Yamagata University , 2-2-2 Iidanishi, Yamagata, 990-9585,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kentaro","family":"Akabane","sequence":"additional","affiliation":[{"name":"Second Department of Surgery, Faculty of Medicine, Yamagata University , 2-2-2 Iidanishi, Yamagata, 990-9585,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tomonori","family":"Ochiai","sequence":"additional","affiliation":[{"name":"Second Department of Surgery, Faculty of Medicine, Yamagata University , 2-2-2 Iidanishi, Yamagata, 990-9585,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0892-2267","authenticated-orcid":false,"given":"Tetsuro","family":"Uchida","sequence":"additional","affiliation":[{"name":"Second Department of Surgery, Faculty of Medicine, Yamagata University , 2-2-2 Iidanishi, Yamagata, 990-9585,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2025,6,26]]},"reference":[{"key":"2025070603462918500_ivaf150-B1","doi-asserted-by":"crossref","first-page":"765","DOI":"10.1016\/j.jcin.2019.10.030","article-title":"Transcatheter ViV versus redo surgical AVR for the management of failed biological prosthesis: early and late outcomes in a propensity-matched cohort","volume":"13","author":"Tam","year":"2020","journal-title":"JACC Cardiovasc Interv"},{"key":"2025070603462918500_ivaf150-B2","doi-asserted-by":"crossref","first-page":"1635","DOI":"10.1016\/j.jtcvs.2023.05.024","article-title":"Aortic root geometry following composite valve graft implantation: implications for future valve-in-valve procedures","volume":"166","author":"Werner","year":"2023","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2025070603462918500_ivaf150-B3","doi-asserted-by":"crossref","first-page":"2037","DOI":"10.1253\/circj.CJ-20-0135","article-title":"JCS\/JSCS\/JATS\/JSVS 2020 guidelines on the management of valvular heart disease","volume":"84","author":"Izumi","year":"2020","journal-title":"Circ J"},{"key":"2025070603462918500_ivaf150-B4","doi-asserted-by":"crossref","first-page":"406","DOI":"10.1016\/S0003-4975(10)63239-0","article-title":"Replacement of the ascending aorta and aortic valve with a composite graft in patients with nondisplaced coronary ostia","volume":"33","author":"Piehler","year":"1982","journal-title":"Ann Thorac Surg"},{"key":"2025070603462918500_ivaf150-B5","doi-asserted-by":"crossref","first-page":"2050","DOI":"10.1016\/S0003-4975(01)02439-0","article-title":"A new modified Bentall procedure: the flanged technique","volume":"71","author":"Yakut","year":"2001","journal-title":"Ann Thorac Surg"},{"key":"2025070603462918500_ivaf150-B6","doi-asserted-by":"crossref","first-page":"e757","DOI":"10.4244\/EIJ-D-20-00067","article-title":"Risk of coronary obstruction and the need to perform BASILICA: the VIVID classification","volume":"16","author":"Tang","year":"2020","journal-title":"EuroIntervention"},{"key":"2025070603462918500_ivaf150-B7","doi-asserted-by":"crossref","first-page":"e009539","DOI":"10.1161\/CIRCINTERVENTIONS.120.009539","article-title":"Feasibility of transcatheter aortic valve replacement in prior aortic root surgery: insights from virtual modeling","volume":"13","author":"Brener","year":"2020","journal-title":"Circ Cardiovasc Interv"},{"key":"2025070603462918500_ivaf150-B8","doi-asserted-by":"crossref","first-page":"452","DOI":"10.1038\/bmt.2012.244","article-title":"Investigation of the freely available easy-to-use software \u2018EZR\u2019 for medical statistics","volume":"48","author":"Kanda","year":"2013","journal-title":"Bone Marrow Transplant"},{"key":"2025070603462918500_ivaf150-B9","doi-asserted-by":"crossref","first-page":"744","DOI":"10.1016\/j.athoracsur.2024.09.013","article-title":"Complex Bentall operation: clinical pearls to standardize the procedure","volume":"119","author":"Ohira","year":"2025","journal-title":"Ann Thorac Surg"}],"container-title":["Interdisciplinary CardioVascular and Thoracic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/icvts\/advance-article-pdf\/doi\/10.1093\/icvts\/ivaf150\/63590228\/ivaf150.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/icvts\/article-pdf\/40\/7\/ivaf150\/63590228\/ivaf150.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/icvts\/article-pdf\/40\/7\/ivaf150\/63590228\/ivaf150.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,7,6]],"date-time":"2025-07-06T07:46:34Z","timestamp":1751787994000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/icvts\/article\/doi\/10.1093\/icvts\/ivaf150\/8174910"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,6,26]]},"references-count":9,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2025,7,3]]}},"URL":"https:\/\/doi.org\/10.1093\/icvts\/ivaf150","relation":{},"ISSN":["2753-670X"],"issn-type":[{"type":"electronic","value":"2753-670X"}],"subject":[],"published-other":{"date-parts":[[2025,7]]},"published":{"date-parts":[[2025,6,26]]},"article-number":"ivaf150"}}