Bentall procedure: quarter century of clinical experiences of a single surgeon

Journal of Cardiothoracic Surgery
Kálmán BenkeZoltán Szabolcs

Abstract

We retrospectively analyzed 25 years of experiences with the button Bentall procedure in patients with aortic root pathologies. Even though this procedure has become widespread, there are only a few very long term follow-ups available in the clinical literature, especially regarding single surgeon results. Between 1988 and 2013, a total of 147 patients underwent the Bentall procedure by the same surgeon. Among them there were 62 patients with Marfan syndrome. At the time of the surgery the mean age was 46.5 ± 17.6 years. The impact of surgical experience on long-term survival was evaluated using a cumulative sum analysis chart. The Kaplan-Meier estimated overall survival rates for the 147 patients were 91.8 ± 2.3 %, 84.3 ± 3.1 %, 76.3 ± 4.9 % and 59.5 ± 10.7 % at 1,5,10 and 20 years, respectively. Multivariate Cox regression analysis identified EuroSCORE II over 3 % (OR 4.245, 95 % CI, 1.739-10.364, p = 0.002), acute indication (OR 2.942, 95 % CI, 1.158-7.480, p = 0.023), use of deep hypothermic circulatory arrest (OR 3.267, 95 % CI, 1.283-8.323, p = 0.013), chronic kidney disease (OR 6.865, 95 % CI, 1.339-35.189, p = 0.021) and early complication (OR 3.134, 95 % CI, 1.246-7.883, p = 0.015) as significant risk factors for the l...Continue Reading

References

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Apr 12, 2014·BMC Cardiovascular Disorders·Bence AggZoltán Szabolcs

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Citations

Apr 16, 2020·Orphanet Journal of Rare Diseases·Bence ÁggZoltán Szabolcs
Jan 10, 2020·Journal of Cardiothoracic Surgery·Miklós PólosZoltán Szabolcs
May 16, 2019·Lung·Abigel M Kolonics-FarkasVeronika Müller

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Methods Mentioned

BETA
dissection
coronary artery bypass

Software Mentioned

SPSS

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