Outcomes of the Bentall procedure at Hanoi Heart Hospital

Abstract

Background: the Bentall procedure is one of the best options to deal with aortic root pathology. We retrospectively reviewed and evaluated the early and mid-term results of the Bentall procedure at Hanoi Heart Hospital.
 Methods: a longitudinal descriptive study. We retrospectively reviewed 52 patients who underwent the Bentall procedure at Hanoi Heart Hospital from January 2017 to December 2020. Data processing using SPSS 22 software.
 Results: type A aortic dissection accounted for 36.5%. The rate of emergency operation was 30.8%, all in patients with acute type A aortic dissection. Mechanical composite valve graft was implanted in 47 patients (90.4 %). The rate of postoperative resternotomy for bleeding was 7.7%, and the operative mortality was 3.8%. The mean follow-up duration was 31.29 ± 17.1 months. The Kaplan-Meier estimated overall survival rates were 96.2%, 92.2% and 73.7% at 1, 3 and 5 years, respectively.
 Conclusion: The Bentall procedure at Hanoi Heart Hospital provided good early and mid-term results, even in cases requiring emergency surgery due to acute type A aortic dissection.