Related Experiment Video
Updated: Jul 16, 2026
Full-root Aortic Valve Replacement by Stentless Aortic Xenografts in Patients with Small Aortic Roots
Published on: May 21, 2017
[Long-term results of Bentall and modified Bentall procedure in aortic root replacement]
1Department of Thoracic Surgery, Asahikawa City Hospital, Japan.
Insights
The Carrel patch procedure for aortic root replacement in annulo-aortic ectasia may lead to fewer late complications compared to Bentall or Cabrol procedures. This surgical technique shows promise for improved long-term patient outcomes.
Area of Science:
- Cardiovascular Surgery
- Aortic Aneurysm Research
- Surgical Outcomes Analysis
Context:
- Annulo-aortic ectasia and aortic dissections necessitate aortic root replacement.
- Surgical interventions aim to improve patient survival and reduce complications.
- Evaluating different surgical techniques is crucial for optimizing treatment strategies.
Purpose:
- To compare the late complication rates of different aortic root replacement techniques.
- To assess the long-term efficacy of the Carrel patch procedure versus Bentall and Cabrol procedures.
- To identify surgical methods associated with fewer adverse events after aortic root surgery.
Summary:
- Sixteen patients with annulo-aortic ectasia underwent aortic root replacement between 1976 and 1994 using Bentall (6), Cabrol (3), or Carrel patch (7) procedures.
- While no immediate deaths occurred, three major late complications arose: two from Bentall procedures and one from a Cabrol procedure, resulting in two fatalities.
- Notably, patients undergoing the Carrel patch procedure experienced no late complications, suggesting its potential for better long-term results.
Impact:
- The Carrel patch procedure may offer a safer alternative for aortic root replacement, potentially reducing major late complications.
- Findings suggest a need for further long-term follow-up to validate the superior safety profile of the Carrel patch procedure.
- This study contributes to the evidence base for surgical decision-making in managing complex aortic conditions.
Abstract:
Between 1976 and 1994, sixteen patients who had annulo-aortic ectasia required aortic root replacements. Ten patients had annulo-aortic ectasia and 6 patients had aortic dissections. The operative techniques included Bentall procedure in 6, Cabrol procedure in 3 and Carrel patch procedure in 7. No hospital death was noted, although there were three major late complications and two of them died. First patient having Bentall procedure died from acute myocardial infarction because of the compressed left coronary artery by the wrapping aneurysmal wall. Second patient having Bentall procedure had enlargement of residual false lumen. Third patient having Cabrol procedure developed false aneurysm at the ostial anastomosis and died of cerebral haemorrhage. In contrast, no late complication has been noted in patients having Carrel patch procedure. Although further long-term follow-up is required, our experience suggests that Carrel patch procedure has less late complication.
