Long-stay predictors in the intensive care unit after Bentall procedure: retrospective research

Tymoshenko, Viktoriia; Zelenchuk, Oleh; Maruniak, Stepan; Sudakevych, Serhii; Demyanchuk, Vitalii; Todurov, Borys

doi:10.33678/cor.2023.071

Cited by 2 publications

(2 citation statements)

References 12 publications

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“…We did not observe this effect in our series of patients. So, the original reimplantation procedure using a straight graft does not seem to have a negative impact on the leaflets [11][12][13][14].…”

Section: Resultsmentioning

confidence: 96%

Клапанозбережне Протезування Кореня Аорти: Результати Операції Девіда І

Todurov,

Stetsyuk,

Zelenchuk

et al. 2024

CSIC

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The aim – to determine the long-term results and quality of life of patients who underwent David І valve-sparing operation.Materials and methods. The one-center study included 53 patients who underwent planned and urgent David I procedure (valve-sparing replacement of the aortic root and ascending aorta) from 2015 to 2023. The mean age of the 53 patients (among them, 47 (88.68 %) males) was 49.11 ± 1.54 years. We analyzed basic characteristics of the patients, intraoperative and postoperative data. The quality of life was assessed before and in the long-term period after operations by the Medical Outcomes Study Short Form 36 (MOS SF-36) questionnaire.Results and discussion. An average duration of the follow-up period was 2.59 ± 0.27 years ranging from 1.0 to 9.0 years. Overall in-hospital mortality and 30-day mortality was 1.89 % (n 1). Estimated 5-year survival rate was 95.7 ± 1.45 % for all patients. The average duration of the operations was 291.23 ± 12.67 minutes, the total duration of artificial blood circulation was 170.28 ± 8.77 minutes, aorta clamping time – 122.02 ± 5.92 minutes. The mean duration of stay in the hospital was 13.81 ± 0.54 days, intensive care unit – 2.94 ± 0.03 days. The number of patients extubated up to 8 hours after surgery was 48 patients (90.57 %). The performed operation significantly improved the indicators. Patients positively perceived the information about the absence of an artificial heart valve and need of concomitant use of anticoagulants. The patients had a good psycho-social component, which probably affected the assessment of other scales.Conclusions. Patients after David I operation have a low overall in-hospital mortality and 30-day mortality, with a short period of time in intensive care unit and hospital at all. Long-term results in indicator of 5-year survival are excellent. The operation significantly improves quality of life parameters.

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Section: Resultsmentioning

confidence: 96%

Клапанозбережне Протезування Кореня Аорти: Результати Операції Девіда І

Todurov,

Stetsyuk,

Zelenchuk

et al. 2024

CSIC

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“…Ukrainian surgeons for many years performed Bentall operation in cases of aortic insufficiency with aneurysm of the root and ascending part of the aorta [10,11]. It is a fact of a lot of complications after Bentall operations [13]. The Bentall operations had such a «popularity» due to the lack of experience in performing valve-sparing operations and the lack of data of the benefits of these operations.…”

Section: Introductionmentioning

confidence: 99%

Quality of Life of Patients Treated by Valve-Sparing Aortic Root Replacement

Stetsyuk,

Todurov,

Zelenchuk

et al. 2024

Clin. and prev. med.

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The aim. To determine the effectiveness of David valve-preserving operation in comparison with Bentall operation based on the analysis of patients' quality of life after operations. Materials and methods. The study included 107 patients who underwent planned and urgent surgical treatment at the Heart Institute of the Ministry of Health of Ukraine from 2015 to 2023. The patients were divided into two groups depending on the type of surgical intervention: group A consisted of 53 patients (49,11±1,54 years; 47 (88,68%) males), who underwent the David procedure (valve-sparing replacement of aortic root and ascending aorta), group B – 55 patients (52,36±1,56 years; 53 (96,36%) males), who underwent Bentall surgery (replacement of the valve, root and ascending part of the aorta). The quality of life was assessed before the operation for each group, and in the long-term period after operation. The quality of life of the patients of both groups was compared. It was assessed using the Medical Outcomes Study Short Form 36 (MOS SF-36) questionnaire. Results. The obtained data indicated that the average preoperative values of quality of life indicators of patients of both groups with different types of aneurysm correction were significantly different from ideal health. The performed operations significantly improved the assessment of the quality of life. When comparing the quality of life in the remote period of the patients of both groups, the indicators were significantly better in group A. We noticed that the patients of group A had a significantly better psycho-social component, which probably influenced the assessment of other scales. Group A patients had statistically better all indicators of quality of life after surgery comparing with group B patients. Group B patients complained about the sound of the artificial aortic valve prosthesis, sometimes the occurrence of minor nosebleeds and the need for frequent visits of the doctor to monitor blood "thinning" indicators. Conclusions. The obtained results indicate a positive change in the quality of life in patients of both groups. When David operation is performed for aortic root and ascending aortic aneurysms, the quality of life is significantly better than in patients after Bentall operation. We recommend performing David operations at the highly specialized cardiac centers.

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Long-stay predictors in the intensive care unit after Bentall procedure: retrospective research

Cited by 2 publications

References 12 publications

Клапанозбережне Протезування Кореня Аорти: Результати Операції Девіда І

Клапанозбережне Протезування Кореня Аорти: Результати Операції Девіда І

Quality of Life of Patients Treated by Valve-Sparing Aortic Root Replacement

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