Surgical Outcomes in Behcet’s Disease Patients With Severe Aortic Regurgitation

Behçet's Disease: Successful Aortic Root Reconstruction in Severely Dilated Aortoventricular Junction After Aortic Valve Replacement With Novel Surgical Method - a Case Report

“…As a laboratory marker, only the role of low C-reactive protein (CRP) concentration is mentioned to correlate with an uneventful postoperative course. (11)…”

Modified Bentall procedure with a rapid deployment valve in cardiac Behçet's disease: A case report

“…1,2 Surgical treatments for cardiac BD are often challenging because of the pathophysiologic characteristics of vasculitis. 1,3,4 The occurrence of postoperative anastomotic leakage and prosthesis detachment is well known, and in combination with repeated cardiac surgery, they often lead to a catastrophic situation. 1,2,5 To reduce the risk of reoperation, some low-level evidence studies have proposed alternative surgical procedures, such as the Bentall procedure, instead of aortic valve replacement, 1 or anchoring the aortic valve prosthesis into the left ventricular outflow tract (LVOT).…”

“…1,3,4 The occurrence of postoperative anastomotic leakage and prosthesis detachment is well known, and in combination with repeated cardiac surgery, they often lead to a catastrophic situation. 1,2,5 To reduce the risk of reoperation, some low-level evidence studies have proposed alternative surgical procedures, such as the Bentall procedure, instead of aortic valve replacement, 1 or anchoring the aortic valve prosthesis into the left ventricular outflow tract (LVOT). 2,5 In this study, we report a novel surgical modification of Bentall operation for cardiac BD using the following 3 concepts: (1) complete resection of diseased aortic root tissue, (2) anchoring of the aortic graft at the LVOT muscle, and (3) further proximal reinforcement through the radial force of the rapid deployment (RD) valve.…”

“… 1 , 2 Surgical treatments for cardiac BD are often challenging because of the pathophysiologic characteristics of vasculitis. 1 , 3 , 4 The occurrence of postoperative anastomotic leakage and prosthesis detachment is well known, and in combination with repeated cardiac surgery, they often lead to a catastrophic situation. 1 , 2 , 5 …”

Commentary: A novel surgical strategy for aortic valve replacement in Behçet’s disease: Is this the new Silk Road?

“…In this case, the implant of a low-profile RDV might facilitate the coronary anastomosis. 7 There is limited evidence to support the choice between mechanical or biological prostheses, 9 and no evidence describing this novel technique in aggressive endocarditis with annular disruption. However, the total exclusion of the annular tissue and the rare myocardium involvement in the inflammatory changes of BD may be the basis to highlight this technique as not a "bailout" strategy rather than a well-planned procedure that seems to trace the new Silk Road for BD.…”