ĐÁNH GIÁ KẾT QUẢ SỚM PHẪU THUẬT BENTALL TRONG ĐIỀU TRỊ BỆNH LÝ GỐC ĐỘNG MẠCH CHỦ

Abstract

Objectives: to evaluate early results of patients with aortic root abscess treated with Bentall procedure at Cho Ray Hospital. Subjects and research methods: patients underwent Bentall procedure to treat aortic root abscess in all patients uderwent Bentall procedure at Cho Ray Hospital from September 2020 to June 2022. The research method is retrospective, describing a series of cases. Results: From September 2020 to June 2022, at the Department of Cardiac Surgery, Cho Ray Hospital, 52 patients underwent Bentall surgery, of which the average age was 48±13.76, the male:female ratio = 3:1. Causes: aortic root aneurysm 22 cases (44.2%), aortic root abscess 11 (21.2%), aortic dissection 10 cases (19.2%), aortic valve disease 8 cases (15.4%) ); ejection fraction (EF)  60.1±12.6; Elective surgery 45 cases (86.5%), emergency surgery 7 cases (13.5%); Extracorporeal circulation time 213.6±66.7 minutes, aortic clamping time 160.9±53 minutes. Complications: bleeding 6 cases (11.5%), heart failure 19 cases (36.5%), kidney failure 7 cases (13.5%), arrhythmia 5 cases (9.6%), pneumonia 4 cases (7.7%). , sepsis 2 cases (3.8%), wound infection 0%. Death 4 cases (7.7%). Conclusion: Bentall procedure to treat aortic root abscess has acceptable early results, although this remains a challenge with relatively high early mortality (7.7%). CBP time and clamping time influence heart failure complications, renal failure, and surgical outcomes. Particularly, the time of artery clamping affects bleeding complications.