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Bentall procedure as a lifesaving surgery: A single center experience
Saif S Al-Mudhaffar1, Ala Alwan1, Rafid Ouj1
1Department of Cardiac Surgery, Ibn Al-Bitar Specialized Center for Cardiac Surgery, Baghdad 10011, Iraq.
Medicine International
|February 3, 2023
Summary
The Bentall procedure effectively manages aortic root and ascending aorta issues. Modifications to this surgery reduce mortality rates for patients with aortic dissection and valve dysfunction.
Area of Science:
- Cardiovascular Surgery
- Thoracic Surgery
- Aortic Surgery
Background:
- The Bentall procedure is a critical surgical technique for complex aortic root and ascending aorta pathologies.
- Aortic dissection and valve dysfunction necessitate advanced surgical interventions.
Purpose of the Study:
- To evaluate the clinical outcomes of the Bentall procedure in a single center.
- To assess the efficacy of modified Bentall procedures in managing aortic abnormalities.
Main Methods:
- Retrospective case series of 18 patients undergoing the Bentall procedure over 3 years.
- Standard median sternotomy with St. Jude Medical composite grafts.
- Inclusion criteria: acute ascending dissection and/or dilated ascending aorta with aortic valve dysfunction.
Main Results:
- 18 patients (88.8% male, age 27-60) were included.
- Chest pain (55.5%) and hypertension (66.6%) were common; 77.7% required emergency surgery.
- Early postoperative complications occurred in 27.7% of patients.
Conclusions:
- Modified Bentall procedures demonstrate a significant impact on reducing overall mortality rates.
- Increased awareness of aortic dissection can lead to earlier patient referral and improved survival outcomes.
