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[Experience of modified Bentall's procedure for annulo-aortic ectasia]
1Department of Thoracic Surgery, Japanese Red Cross, Nagoya First Hospital.
Kyobu Geka. the Japanese Journal of Thoracic Surgery
|February 1, 1995
Summary
The modified Bentall procedure effectively treats annulo-aortic ectasia, preventing false aneurysms at suture lines. This surgical technique demonstrated no hospital mortality in a small patient cohort, with most remaining symptom-free post-operation.
Area of Science:
- Cardiovascular Surgery
- Thoracic Surgery
- Aortic Surgery
Context:
- Annulo-aortic ectasia poses risks including false aneurysm formation at suture lines.
- Traditional inclusion techniques like Bentall's or Cabrol's procedures are associated with this complication.
- The modified Bentall procedure (Carrel patch technique), also known as Inberg's procedure, offers an alternative approach.
Purpose:
- To evaluate the efficacy and safety of the modified Bentall procedure in treating annulo-aortic ectasia.
- To assess the incidence of false aneurysm formation and other complications.
- To report surgical outcomes and long-term follow-up in a series of patients.
Summary:
- Six consecutive patients with annulo-aortic ectasia underwent the modified Bentall procedure.
- The operation involved resection of the aortic valve and aneurysm, with implantation of coronary ostia to a composite graft.
- Techniques to prevent coronary ostium injury and minimize bleeding, such as precise trimming and Teflon felt strips, were employed.
Impact:
- The modified Bentall procedure showed no hospital mortality in this series.
- No pseudo-aneurysms were observed at coronary ostia or distal anastomosis on early follow-up aortography.
- While one patient experienced late mortality due to complications, the remaining patients remained symptom-free, highlighting the procedure's potential benefits.