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New modification of modified bentall procedure (A single centre experience).
Ghulam Hussain1, Naseem Ahmad2, Sohail Ahmad3
1Ghulam Hussain, FCPS Cardiac Surgery. Senior Registrar Cardiac Surgery, Cardiac Surgery Department, Ch. Pervaiz Elahi Institute of Cardiology (CPEIC), Multan, Pakistan.
Pakistan Journal of Medical Sciences
|February 13, 2016
Summary
The Modified Button-Bentall procedure with a cuff technique significantly reduces post-operative bleeding in aortic root replacement surgery. This method improves early outcomes compared to the technique without a cuff.
Area of Science:
- Cardiovascular Surgery
- Thoracic Surgery
- Aortic Surgery
Background:
- The Modified Bentall procedure is a standard treatment for combined aortic root and valve diseases.
- Postoperative bleeding is a critical factor influencing morbidity and mortality after the Bentall operation.
Purpose of the Study:
- To evaluate the early outcomes of the Modified Button-Bentall procedure with a cuff technique for aortic root replacement, focusing on hemostasis.
Main Methods:
- A retrospective study of 32 patients undergoing elective Bentall operation.
- Group I (18 patients): Modified Button-Bentall with cuff formation.
- Group II (14 patients): Modified Button without cuff formation.
Main Results:
- Group I showed significantly lower postoperative chest drainage (488.89±168.27 ml) compared to Group II (1158±451.25 ml) (p<0.0001).
- No significant differences were observed in ventilation time, ICU stay, or hospital stay.
- One in-hospital death occurred in Group II.
Conclusions:
- Cuff formation during proximal anastomosis in the Modified Button-Bentall procedure significantly reduces postoperative bleeding.
- This technique leads to improved early in-hospital outcomes in aortic root replacement surgery.
