Operação de Bentall e De Bono para correção das doenças da raiz aórtica: análise de resultados a longo prazo

Silva, Virgílio Figueiredo; Real, Daniel Sundfeld Spiga; Branco, João Nelson Rodrigues; Catani, Roberto; Kim, Hyong Chun; Buffolo, Ênio; Fonseca, José Honório de Almeida Palma da

doi:10.1590/s0102-76382008000200016

Cited by 8 publications

(6 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The VSR can be performed without increased mortality and morbidity compared to the Bentall procedure [ 1 , 11 , 14 , 15 ] . The perioperative mortality in our series was 8.0% (n=2) and 13.3% (n=6) for the VSR and Bentall procedures, respectively ( P =0.7, ns), which is in line with the published literature [ 1 , 11 , 13 - 15 ] . The better survival in the VSR group in our series may be a reflection of younger age in these patients (55.4 ± 14.8 years compared to 60.6 ± 12.7 years in the Bentall group); however, the difference in survival was not statistically significant.…”

Section: Discussionsupporting

confidence: 91%

See 1 more Smart Citation

Repair of aortic root in patients with aneurysm or dissection: comparing the outcomes of valvesparing root replacement with those from the Bentall procedure

Skripochnik¹,

Michler²,

Hentschel³

et al. 2013

Revista Brasileira De Cirurgia Cardiovascular

View full text Add to dashboard Cite

IntroductionManagement of aortic root aneurysm or dissection has been the subject of much discussion that has led to some modifications. The current trend is a valve-sparing root replacement. We compared the outcome following valve sparing root repair with Bentall procedure. Methods We retrospectively evaluated 70 patients who underwent root replacement for aneurysm or dissection and compared the outcomes of valve-sparing root replacement with those of the Bentall procedure from January 2007 to December 2011 at our institution. Results Twenty-five patients had valve-sparing aortic root replacement (VSR, including reimplantation or remodeling) (23 males and 2 females), and 45 patients had the Bentall procedure (34 males and 11 females). Patients who underwent a VSR were younger with a mean age of 55.4 ± 14.8 years compared to those who underwent the Bentall procedure with a mean age of 60.6 ± 12.7 (P=ns). The preoperative aortic insufficiency (AI) in the VSR group was moderate in 8 (32%) patients, and severe in 6 (24%). Preoperative creatinine was 1 ± 0.35 mg/dl in the VSR group and 1.1 ± 0.87 mg/dl in the Bentall group. In the VSR group, 3 (12%) patients had emergency surgery; by contrast, in the Bentall group, 8 (17%) patients had emergent surgery. Concomitant coronary artery bypass grafting (excluding coronary reimplantation) was performed in 8 (32%) patients in the VSR group and in 12 (26.6%) patients in the Bentall group (P=0.78); additional valve procedures were performed in 2 (8%) patients in the VSR group and in 11 (24.4%) patients in the Bentall group. The perioperative mortality was 8% (n=2) and 13.3% (n=6), for the VSR and Bentall procedures, respectively (P=0.7, ns). The total duration of intensive care unit stay was 116.6 ± 106 hours for VSR patients and 152.5 ± 218.2 hours for Bentall patients (P=0.5). The overall length of stay in the hospital was 10 ± 8.1 days for VSR and 11 ± 9.52 days for Bentall (P=0.89). The one-year survival was 92% for the VSR group and 79.0% for the Bentall group. The seven-year survival for the VSR group was 92% and 79% for the Bentall group (95% CI [1.215 to 0.1275], P=0.1). Conclusion Aortic valve-sparing root replacement can be performed with acceptable morbidity and mortality with a comparable long-term survival to the Bentall procedure.

show abstract

Section: Discussionsupporting

confidence: 91%

“…The Bentall approach has traditionally been the gold standard for aortic root pathology; however, this approach has been challenged by the valve-sparing root replacement [ 1 , 10 - 13 ] .…”

Section: Discussionmentioning

confidence: 99%

Repair of aortic root in patients with aneurysm or dissection: comparing the outcomes of valvesparing root replacement with those from the Bentall procedure

Skripochnik¹,

Michler²,

Hentschel³

et al. 2013

Revista Brasileira De Cirurgia Cardiovascular

View full text Add to dashboard Cite

show abstract

“…A large body of evidence over the past decades demonstrates that for simulataneous replacement of composite graft of the ascending aorta and aortic valve, the original Bentall procedure and its modifications yield satisfactory outcome [ 6 , 12 – 15 ]. Studies have shown that inordinate late intraoperative and early postoperative bleeding and the formation of pseudoaneurysm at the suture lines are the main complications associated with the classic Bentall method [ 4 , 14 ]. It is important to reduce the operation time of the Bentall procedure in order to reach the minimum time for optimum hemostasis.…”

Section: Resultsmentioning

confidence: 99%

A simple modified Bentall technique for surgical reconstruction of the aortic root – short and long term outcomes

Nezafati

Shomali²,

Nezafati

2015

J Cardiothorac Surg

View full text Add to dashboard Cite

BackgroundSince the first introduction of the Bentall technique, several modifications have been proposed to improve patient outcomes and decrease intra- and post-operative complications. We describe a simplified modification of the technique that tries to lessen the intra-operative time, improve homeostasis and miminize early and late complications. Our experience with the technique and short- and long-term patient outcomes are reported.MethodsFrom August 1996 to October 2013, 110 consecutive patients underwent this modified technique. The procedure used Dacron composite graft with a mechanical valve (St. Jude Medical®) for aortic root replacement. To avoid intra-operative complications, no mobilization of coronary ostia was done. Additionally, the tubular aorta was kept minimally unchanged.ResultsTotal bleeding after the operation was 450 ± 105 mL. The mean duration of intensive care unit and hospital stay were 2 ± 1 and 5 ± 2 days, respectively. Sixty-six patients (60 %) were discharged from the surgical intensive care unit on the first postoperative day, 34 patients (30.9 %) were discharged on the second day and ten patients (9.1 %) needed more time to stay in the intensive care unit due to haemodynamic or respiratory problems. At 5-years follow up, survival rate was 97 %. In the three deceased patients, causes of death were mediastinitis, sepsis and myocardial infarction. No operation-related complications such as anticoagulant-related hemorrhage, valve or graft thrombosis, or coronary pseudoaneurysm were occurred during follow-up.ConclusionsThe proposed modification of the Bentall technique seems to minimize late intra-operative blood loss, improves homeostasis, shortens the operation time and is associated with excellent long-term outcomes in patients undergoing composite graft replacement of the aortic root.

show abstract

“…Em estudo realizado na Universidade Federal de São Paulo, 15,5% dos pacientes estudados eram etilistas, 48,5% hipertensos e 20,5% tabagistas. A sobrevida desses pacientes foi considerada boa pelos autores do estudo 22 , concordando com nossos dados, pois obervamos alta taxa de fatores de risco para o desenvolvimento de doenças artérias, porém após a cirurgia não houve óbitos no período pesquisado.…”

Section: Discussionunclassified

Morbi-Mortalidade Em Cirurgia De Correção De Aneurisma De Aorta Em Um Hospital Público De Fortaleza-Ce: Estudo Retrospectivo

Ribeiro¹,

Pereira

Farias

et al. 2015

Saúde (Sta. Maria)

View full text Add to dashboard Cite

show abstract

Operação de Bentall e De Bono para correção das doenças da raiz aórtica: análise de resultados a longo prazo

Cited by 8 publications

References 15 publications

Repair of aortic root in patients with aneurysm or dissection: comparing the outcomes of valvesparing root replacement with those from the Bentall procedure

Repair of aortic root in patients with aneurysm or dissection: comparing the outcomes of valvesparing root replacement with those from the Bentall procedure

A simple modified Bentall technique for surgical reconstruction of the aortic root – short and long term outcomes

Morbi-Mortalidade Em Cirurgia De Correção De Aneurisma De Aorta Em Um Hospital Público De Fortaleza-Ce: Estudo Retrospectivo

Contact Info

Product

Resources

About