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Long-term mortality and morbidity after button Bentall operation.

Tae Sik Kim¹, Chan-Young Na, Sam Sae Oh

¹Department of Thoracic and Cardiovascular Surgery, Sejong General Hospital, Sejong Heart Institute, Bucheon, Republic of Korea.

Journal of Cardiac Surgery

|March 14, 2013

Summary

The button Bentall procedure shows good long-term survival for aortic root disease. Valve-related complications like embolism and bleeding significantly impact overall survival after this aortic root replacement surgery.

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Area of Science:

Cardiovascular Surgery
Thoracic Surgery
Aortic Surgery

Background:

Aortic root disease requires surgical correction.
The button Bentall procedure is a complex aortic root replacement technique.

Purpose of the Study:

To evaluate the long-term outcomes of the button Bentall procedure.
Assess survival and complications following aortic root repair.

Main Methods:

195 patients with aortic root disease underwent the button Bentall procedure (1997-2010).
Annuloaortic ectasia was the primary pathology.
Mechanical valves were used in 83.6% of cases, with a median follow-up of 64 months.

Main Results:

Operative mortality was 2.6%, with late overall mortality at 7.9%.

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Actuarial survival rates were 95.8% at 5 years, 89.6% at 10 years, and 75.9% at 15 years.

Embolism and bleeding were identified as key risk factors for late mortality.

Conclusions:

Valve-related morbidities, including embolism and bleeding, are critical determinants of long-term mortality after button Bentall operation.
Outcomes are comparable to those seen in standard valve surgery, emphasizing complication management.