Comparison of the Bentall procedure versus valve-sparing aortic root replacement. Issue 4 (1st October 2020)
- Record Type:
- Journal Article
- Title:
- Comparison of the Bentall procedure versus valve-sparing aortic root replacement. Issue 4 (1st October 2020)
- Main Title:
- Comparison of the Bentall procedure versus valve-sparing aortic root replacement
- Authors:
- Hamandi, Mohanad
Nwafor, C. Ikenna
Baxter, Ronald
Shinn, Kathryn
Wooley, Jordan
Vasudevan, Anupama
Harrington, Katherine
Schaffer, Justin
Moore, David
DiMaio, J. Michael
Ryan, William H.
Brinkman, William T. - Abstract:
- Abstract: Bentall and valve-sparing root replacement (VSRR) procedures are established treatments for aortic root disease. We present a single-center retrospective analysis comparing outcomes of bioprosthetic Bentall (BB), mechanical Bentall (MB), and VSRR patients from November 2007 to October 2016. Survival analysis was performed to evaluate the composite endpoint of freedom from recurrent aortic insufficiency, reoperation, or death. Of the 170 patients, BB was performed in 36 patients, MB in 63 patients, and VSRR in 71 patients. For BB, MB, and VSRR, the mean age was 63.8, 45.5, and 49.2 years ( P < 0.001), respectively. Additionally, significantly more patients in the MB group (n = 32, 50.8%, P < 0.001) than in the BB and VSRR groups had prior cardiac surgeries. Cardiopulmonary bypass time and cross-clamp time were significantly longer in the VSRR group ( P = 0.04 and 0.0005, respectively). Despite the complexity of the procedure, VSRR patients had higher combined freedom from death and reoperation than patients in the BB or MB groups. Elective Bentall root replacement is an excellent option for patients with root disease. Patients undergoing Bentall tend to have more severe or emergent cases, making them unlikely candidates for VSRR. VSRR in experienced centers carries equivalent morbidity and mortality and improved survival.
- Is Part Of:
- Proceedings. Volume 33:Issue 4(2020)
- Journal:
- Proceedings
- Issue:
- Volume 33:Issue 4(2020)
- Issue Display:
- Volume 33, Issue 4 (2020)
- Year:
- 2020
- Volume:
- 33
- Issue:
- 4
- Issue Sort Value:
- 2020-0033-0004-0000
- Page Start:
- 524
- Page End:
- 528
- Publication Date:
- 2020-10-01
- Subjects:
- Bentall -- root repair -- root replacement -- valve-sparing
Medicine -- Periodicals
Medicine
Medicine -- Periodicals
Periodicals
Electronic journals
616.005 - Journal URLs:
- http://www.baylorhealth.edu/proceedings/default.htm ↗
https://www.tandfonline.com/loi/ubmc20 ↗
http://www.tandfonline.com/ ↗ - DOI:
- 10.1080/08998280.2020.1771163 ↗
- Languages:
- English
- ISSNs:
- 0899-8280
- Deposit Type:
- Legaldeposit
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- Available online (eLD content is only available in our Reading Rooms) ↗
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- British Library DSC - BLDSS-3PM
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