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Influence of Bentall Procedure on Left Ventricular Function.

Serkan Burç Deşer¹, Mustafa Kemal Demirag¹, Semih Murat Yucel¹

¹Ondokuz Mayis University School of Medicine Department of Cardiovascular Surgery Samsun Turkey Department of Cardiovascular Surgery, School of Medicine, Ondokuz Mayis University, Samsun, Turkey.

Brazilian Journal of Cardiovascular Surgery

|April 10, 2020

Summary

This summary is machine-generated.

The Bentall procedure significantly enhances left ventricular function and reduces cardiac dimensions long-term. This aortic surgery offers improved patient functional capacity with acceptable survival rates.

Keywords:

Aorta Aortic Valce Atrial Fibrilation Diastole Echocardiography Left Survival Rate Ventricular Function

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Area of Science:

Cardiovascular Surgery
Cardiac Surgery
Aortic Surgery

Background:

Aortic root and ascending aorta diseases often necessitate complex surgical interventions.
The Bentall procedure is a standard technique for replacing these aortic segments.
Evaluating the long-term impact on cardiac function is crucial for patient outcomes.

Purpose of the Study:

To assess the long-term effects of the Bentall procedure on left ventricular function.
To evaluate changes in cardiac dimensions and patient functional capacity post-surgery.

Main Methods:

Retrospective study of 73 patients undergoing aortic root and ascending aorta replacement.
Utilized composite valve button or flanged Bentall techniques.
Transthoracic echocardiography used for long-term follow-up assessment.

Main Results:

Significant improvement in left ventricular ejection fraction (P=0.041).
Significant reduction in left ventricular end-systolic (P=0.027), end-diastolic (P=0.01), and left atrial diameters (P=0.01).
Improved New York Heart Association functional class (P=0.001) and comparable long-term survival rates (5-year: 83.5%, 10-year: 69.8%).

Conclusions:

The Bentall procedure significantly improves left ventricular systolic function and cardiac dimensions long-term.
The procedure demonstrates acceptable mortality and morbidity rates for aortic root and ascending aorta replacement.