Modified Bentall Operation for the Replacement of Aortic Root and Ascending aorta: 5-Year Experience

Authors

  • Chalach Mitprachapranee Department of Surgery, Faculty of Medicine, Khon Kaen University, Khon Kaen, 40002 Thailand.
  • Chawalit Wongbuddha Department of Surgery, Faculty of Medicine, Khon Kaen University, Khon Kaen, 40002 Thailand.
  • Thiti Chanmayka Department of Surgery, Faculty of Medicine, Khon Kaen University, Khon Kaen, 40002 Thailand.

Keywords:

Modified Bentall Operation

Abstract

Methods:      This was a retrospective study chart review in patients which have been performed Modified Bentall Operation at Queen Sirikit heart center between 1 January 2011 – 31 December 2016 to study about the surgical outcome and its complications.    

 

Results: A total of 72 patients underwent the Modified Bentall Operation. There were 6 patients died postoperatively (8%) and postoperative complications are AF 23 patients (31%), Pneumonia 8 patients (11%), Acute kidney injury 14 patients (19%), Postoperative bleeding 6 patients (8%), Upper GI bleeding 5 patients (6%), Complete heart block 2 patients (2%), Stoke 2 patients (2%) Low cardiac output need to do ECMO support 1 patient (1%), Length of ICU stay is 5 ± 4 day, Length of hospital stay 20 ± 12 day

Conclusions:         Modified Bentall Operation patients with ascending aortic aneurysm or aortic dissection with aortic regurgitation has a good surgical outcome, although this study has higher mortality rate than others we study for improve the surgical outcome for the patients.     

References

1. Bentall H, De Bono A. A technique for complete replacement of the ascending aorta. Thorax 1968; 23: 338–9.
2. Aomi S, Nakajima M, Nonoyama M, Tomioka H, Bonkohara Y, Satou W, et al. Aortic root replacement using composite valve graft in patients with aortic valve disease and aneurysm of the ascending aorta: twenty years’ experience of late results. Artif Organs 2002; 26: 467–73.
3. Girardi LN. Composite root replacement with a mechanical conduit. Oper Tech Thorac Cardiovasc Surg 2008; 13: 148–60.
4. Etz CD, Homann TM, Silovitz D, Spielvogel D, Bodian CA, Luehr M, et al. Long-term survival after the bentall procedure in 206 patients with bicuspid aortic valve. (2007) Ann Thorac Surg2007; 84: 1186-93.
5. Leonard N Girardi. Composite root replacement with a mechanical conduit. Oper Tech Thorac Cardiovasc Surg 2008;13: 148-60.

Published

2019-04-01

How to Cite

1.
Mitprachapranee C, Wongbuddha C, Chanmayka T. Modified Bentall Operation for the Replacement of Aortic Root and Ascending aorta: 5-Year Experience. SRIMEDJ [Internet]. 2019 Apr. 1 [cited 2024 Apr. 26];34(2):205-10. Available from: https://li01.tci-thaijo.org/index.php/SRIMEDJ/article/view/181371

Issue

Section

Case report