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Related Experiment Videos

[False aneurysms after button-Bentall procedure].

Paul Urbanski1, Grzegorz Grudzień, Witold Dinstak

  • 1Herz-und-Gefäss Klinik GmbH Salzburger Leite 1 97 619 Bad Neustadt, Saale, Deuchland. cachir@herzchirurgie.de

Przeglad Lekarski
|March 14, 2003
PubMed
Summary
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Aortic root replacement using the modified Bentall-de Bono procedure can lead to periprosthetic aneurysms. Management depends on symptoms, fistula presence, and aneurysm size, with reoperation or conservative treatment options.

Area of Science:

  • Cardiovascular Surgery
  • Thoracic Surgery
  • Medical Device Technology

Background:

  • Complete aortic root replacement is a complex procedure.
  • The modified Bentall-de Bono procedure was utilized for 222 patients between 1995-2000.
  • This technique involves total ascending aorta excision and coronary reimplantation via button technique.

Observation:

  • A follow-up of up to 6 years revealed periprosthetic aneurysms in 3 patients.
  • Two patients developed symptoms and a fistula, necessitating reoperation.
  • One patient remained asymptomatic without fistula or aneurysm progression, treated conservatively.

Findings:

  • Periprosthetic aneurysms are a potential complication following aortic root replacement.
  • Clinical presentation and diagnostic imaging guide treatment decisions.

Related Experiment Videos

  • Surgical intervention is indicated for symptomatic aneurysms with fistulas.

    • Implications:

    • Careful patient selection and surgical technique are crucial for minimizing complications.
    • Long-term surveillance is essential for early detection of periprosthetic aneurysms.
    • Individualized treatment strategies are necessary for managing this complication effectively.