EVALUATED RESULTS OF BENTALL PROCEDURE AT HUE CENTRAL HOSPITAL
Main Article Content
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.
Article Details
References
2. Bentall H, De Bono A, A technique for complete replacement of the ascending aorta. Thorax. 1968;4:338-9.
3. Cabrol C, Pavie A, Mesnildrey P, Gandjbakhch I, Laughlin L, Bors V et al, Long-term results with total replacement of the ascending aorta and reimplantation of the coronary arteries. J Thorac Cardiovasc Surg. 1986;91(1):17-25.
4. Cabrol C, Pavie A, Gandjbakhch I, Villemot JP, Guiraudon G, Laughlin L, et al. Complete replacement of the ascending aorta with reimplantation of the coronary arteries: new surgical approach. J Thorac Cardiovasc Surg. 1981;81(2):309-15.
5. Etz CD, Bischoff MS, Bodian C, Roder F, Brenner R, Griepp RB, Luozzo GD. The Bentall procedure: is it the gold standard? A series of 597 consecutive cases. J Thorac Cardiovasc Surg. 2010;140(6S):64-70.
6. Hyun-Chel J, Byung-Chul C, Young- Nam Y, Kyung-Jong Y, Lee S. Clinical experience with the Bentall procedure: 28 years. Yonsei Med J. 2012;53(5):915-923.
7. Kouchoukos NT, Wareing TH, Murphy SF, Perrillo JB. Sixteen- year experience with aortic root replacement. Results of 172 operations. Ann Surg. 1991;214(3):308-18.
8. Matilde MG, Bertha MS, Clotilde FO, Manuel MM, Esteban VM, Fermin RO. Bentall procedure in ascending aoric aneurysm: hospital mortality. Cir Ciruj. 2010;78:43-49.