Aortic Root Pathologies and Surgical Management: Insights From a Single Surgeon's Experience

Area of Science:

• Cardiovascular Surgery
• Thoracic Surgery
• Aortic Surgery

Background:

• The Bentall procedure is a complex surgical technique for aortic root abnormalities.
• Aortic root pathologies include dissection, Marfan syndrome, and bicuspid aortic valve.
• Assessing short-term outcomes is crucial for complex aortic root repairs.

Purpose of the Study:

• To evaluate the short-term outcomes of the Bentall procedure and concomitant techniques.
• To analyze patient demographics, risk factors, and causes of aortic root pathologies.
• To determine the hospital mortality and morbidity rates associated with these aortic surgeries.

Main Methods:

• Retrospective study of 39 patients undergoing Bentall or related procedures.
• Data collected from clinical records between January 2019 and September 2024.
• Statistical analysis of patient characteristics, surgical times, and outcomes.

Main Results:

• Average age 43.97 years, 71.8% male; hypertension most common risk factor (46.2%).
• Leading pathologies: dissection and Marfan syndrome (35.9% each).
• Early mortality rate was 2.6%; average CPB and cross-clamp times were 196.1 and 169.1 minutes.

Conclusions:

• The Bentall procedure demonstrated a 2.6% hospital mortality rate, aligning with literature.
• The classic Bentall technique is safe with acceptable short-term morbidity and mortality.
• Preventable complications like postoperative bleeding require focused attention.