Clinical Experience with the Bentall Procedure: 28 Years
Yonsei Medical Journal
;
: 915-923, 2012.
Article
in English
| WPRIM
| ID: wpr-228781
ABSTRACT
PURPOSE:
We retrospectively analyzed 28 years of experience with the Bentall procedure in patients with aortic valve, aortic root, and ascending aortic disease. MATERIALS ANDMETHODS:
Between March 1982 and December 2010, a total of 218 patients underwent the Bentall procedure using a composite valved conduit. The "inclusion technique" was used in 30 patients (13.8%), the "open-button technique" in 181 patients (83.0%), and the Cabrol technique in 7 patients (3.2%).RESULTS:
The early mortality rate was 5.5% (12/218). The mean follow-up duration was 108.0+/-81.0 months (range 1-329 months). Seven patients required re-operation, and 1 patient required stent graft insertion at the descending thoracic aorta for progression of aortic arch or descending thoracic aortic dissection or aneurysm after the first operation, and 5 of them had Marfan syndrome. Kaplan-Meier estimated survival rates at 1, 5, 10, 20, and 25 years were 90.4%, 82.7%, 77.6%, 65.3%, and 60.3%, respectively. Freedom from reoperation rates at 1, 5, 10, 20, and 25 years were 99.0%, 98.3%, 95.5%, 90.8%, and 90.8%, respectively.CONCLUSION:
In our experience, the Bentall procedure provided optimal survival with improved functional status. The disease of the aorta may progress, especially in patients with Marfan syndrome. Therefore, careful follow-up with regular computed tomography angiograms should be performed in these patients.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Aorta
/
Aorta, Thoracic
/
Aortic Diseases
/
Aortic Valve
/
Reoperation
/
Blood Vessel Prosthesis
/
Survival Rate
/
Retrospective Studies
/
Follow-Up Studies
/
Mortality
Type of study:
Observational study
/
Prognostic study
Limits:
Humans
Language:
English
Journal:
Yonsei Medical Journal
Year:
2012
Type:
Article
Similar
MEDLINE
...
LILACS
LIS