Surgical treatment of aortic root aneurysm: comparison of Bentall procedure and David reimplantation of aortic valve

Ničovský, Jiří; Ondrášek, Jiří; Černý, Jan; Žáková, Daniela; Němec, Petr

doi:10.36290/vnl.2017.126

Vnitr Lek

2017

DOI: 10.36290/vnl.2017.126

|View full text |Cite

Surgical treatment of aortic root aneurysm: comparison of Bentall procedure and David reimplantation of aortic valve

Jiří Ničovský¹,

Jiří Ondrášek²,

Jan Černý³

et al.

Abstract: Aneuryzma aortálního kořene je vzácné, ale závažné kardiovaskulární onemocnění, které je spojeno se zvýšeným rizikem disekce nebo ruptury stěny aorty. V mladém a středním věku jsou tímto onemocněním nejčastěji postiženi pacienti s vrozenou poruchou pojivové tkáně

Help me understand this report

Search citation statements

Order By: Relevance

Paper Sections

Select...

Citation Types

Supporting

Mentioning

Contrasting

Year Published

2019

2024

Publication Types

Select...

Article3

Relationship

Self Cite0

Independent3

Authors

Journals

Cited by 3 publications

(3 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Thromboembolic and bleeding complications were observed in 7 patients, 5 of them were after Bentall surgery and 2 after reimplantation of the aortic valve. They showed less bleeding complications in patients after David procedure [14].…”

mentioning

confidence: 91%

Операція Девіда Чи Бенталла – Порівняння Ранніх Післяопераційних Ускладнень

STETSYUK,

TODUROV

2023

ШХ

View full text Add to dashboard Cite

The aim of the work: to analyze and compare the early postoperative complications in patients operated due to the presence of aneurysms of the root and ascending aorta and aortic valve pathology by the David and Bentall technique. Materials and Methods. It was a retrospective study. There were 107 patients who were routinely treated surgically at the Heart Institute of the Ministry of Health of Ukraine from 2015 to 2023. Patients were divided into two groups depending on the type of surgical intervention: in group A – David operation was performed, in group B – Bentall operation. All data were collected and compared in preoperative, intraoperative, and postoperative period. Results and Discussion. According to the duration of operations, the indicators are higher in patients of group A. Thus, the total duration of the operation was (291.23±12.67) minutes in group A and (244.418±7.67) min. in group B, respectively (p 0.001). The total duration of artificial blood circulation was (170.28±8.77) minutes in group A and (138.73±6.47) min. in group B, respectively (p 0.003). Aorta clamping time – (122.02±5.92) min. in group A and (95.82±4.79) min. in group B, respectively (p 0.000). Patients of group A had faster extubation. They spent less days in the intensive care unit and in the hospital in general. Among the early postoperative complications, it is important to note a greater proportion of arrhythmias in patients after Bentall operation. The share of acute respiratory failure with repeated reintubation is statistically higher in group B. Other indicators did not differ statistically among patients. The frequency of cell saver use was almost the same in the two groups of patients. The rate of reoperations due to bleeding did not differ statistically and was 3 (5.66 %) for group A and 6 (10.91 %) for group B (p 0.328).

show abstract

mentioning

confidence: 91%

Операція Девіда Чи Бенталла – Порівняння Ранніх Післяопераційних Ускладнень

STETSYUK,

TODUROV

2023

ШХ

View full text Add to dashboard Cite

show abstract

“…Nowadays surgeons do hundreds of these interventions every year all over the world. It is an operation of choice in patients with aortic root aneurysm with minimal changes of aortic cusps [2][3][4][5].The trend of growing interest in the study of quality of life increases every year [6,7]. The concept of quality of life is widely used in medicine and is an integral indicator that reflects a per-sonʼs adaptation to the disease and his ability to perform usual functions.…”

mentioning

confidence: 99%

mentioning

confidence: 99%

Клапанозбережне Протезування Кореня Аорти: Результати Операції Девіда І

Todurov,

Stetsyuk,

Zelenchuk

et al. 2024

CSIC

View full text Add to dashboard Cite

The aim – to determine the long-term results and quality of life of patients who underwent David І valve-sparing operation.Materials and methods. The one-center study included 53 patients who underwent planned and urgent David I procedure (valve-sparing replacement of the aortic root and ascending aorta) from 2015 to 2023. The mean age of the 53 patients (among them, 47 (88.68 %) males) was 49.11 ± 1.54 years. We analyzed basic characteristics of the patients, intraoperative and postoperative data. The quality of life was assessed before and in the long-term period after operations by the Medical Outcomes Study Short Form 36 (MOS SF-36) questionnaire.Results and discussion. An average duration of the follow-up period was 2.59 ± 0.27 years ranging from 1.0 to 9.0 years. Overall in-hospital mortality and 30-day mortality was 1.89 % (n 1). Estimated 5-year survival rate was 95.7 ± 1.45 % for all patients. The average duration of the operations was 291.23 ± 12.67 minutes, the total duration of artificial blood circulation was 170.28 ± 8.77 minutes, aorta clamping time – 122.02 ± 5.92 minutes. The mean duration of stay in the hospital was 13.81 ± 0.54 days, intensive care unit – 2.94 ± 0.03 days. The number of patients extubated up to 8 hours after surgery was 48 patients (90.57 %). The performed operation significantly improved the indicators. Patients positively perceived the information about the absence of an artificial heart valve and need of concomitant use of anticoagulants. The patients had a good psycho-social component, which probably affected the assessment of other scales.Conclusions. Patients after David I operation have a low overall in-hospital mortality and 30-day mortality, with a short period of time in intensive care unit and hospital at all. Long-term results in indicator of 5-year survival are excellent. The operation significantly improves quality of life parameters.

show abstract

Aortic dissection and other acute aortic syndromes in the emergency department

Volovárová¹,

Volovár²,

Lhotský³

et al. 2019

Vnitr Lek

View full text Add to dashboard Cite

Akutní aortální syndromy (AAS) jsou definovány jako emergentní život ohrožující stavy postihující aortu, jejichž společnou patofyziologickou charakteristikou je postižení intimy a medie. Mezi AAS se řadí akutní aortální disekce, intramurální hematom aorty, penetrující vřed aorty a ruptura hrudní aorty [1,2]. Skutečnou incidenci AAS je těžké stanovit, protože u části pacientů,

show abstract

scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.

Contact Info

hi@scite.ai

10624 S. Eastern Ave., Ste. A-614

Henderson, NV 89052, USA

Blog Terms and Conditions API Terms Privacy Policy Contact Cookie Preferences Do Not Sell or Share My Personal Information

Made with 💙 for researchers

Part of the Research Solutions Family.

Surgical treatment of aortic root aneurysm: comparison of Bentall procedure and David reimplantation of aortic valve

Cited by 3 publications

References 28 publications

Операція Девіда Чи Бенталла – Порівняння Ранніх Післяопераційних Ускладнень

Операція Девіда Чи Бенталла – Порівняння Ранніх Післяопераційних Ускладнень

Клапанозбережне Протезування Кореня Аорти: Результати Операції Девіда І

Aortic dissection and other acute aortic syndromes in the emergency department

Contact Info

Product

Resources

About