EVALUATED RESULTS OF BENTALL PROCEDURE AT HUE CENTRAL HOSPITAL

Thục Nguyễn, Đức Dũng Nguyễn, Hoài Ân Trần , Thanh Thái Nhân Trần

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Abstract

Objective: Evaluated results of Bentall procedure from 2012 to 2021. Methods: A retrospective clinical review of patients undergoing Bentall operation at Hue Cardiovascular Center was performed from 2012 to 2021. Results: 96 patients (73 men 75,8% and 23 women 24,2%). The mean age was 46 ± 12,7 years. 3,1% patients presented Marfan syndrome. 47,9% patients had hypertension, 15% had diabetes and 26,04% had dyslipidemia. 59,4% patients were in NYHA II and 34,3% were in NYHA III in the moment of surgery. 36,45% patients were operated in emergency phase and 63,55% in elective phase. Typ A dissection was in 36,45% patients. Annulo-aortic ectasia was presented in 100% patients. The mean diameter aortic bulbe was 6,2 ± 11,8 cm. The mean CPB time was 163,5 ± 34,2 minutes and the mean cross clamp time was 130,7 ± 25,4 minutes. 100% patients were used button Bentall technique to reimplant coronary artery. 95,83% were used mechanical valve. The mean ICU was 7,5 ± 1,4 day and the mean post operated was 13 ± 4,6 day. The mortality rate was 2,08%. Conclusion: The Bentall procedure is a gold standard, the first choice for patients with aortic root disease and important aortic valve insufficiency. This procedure was safe, effective and low mortality rate.

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References

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