The Aortic Root Replacement Procedure: 12-year Experience from the Australian and New Zealand Society of Cardiac and Thoracic Surgeons Database

Dhurandhar, Vikrant; Parikh, Roneil; Saxena, Akshat; Vallely, Michael P.; Wilson, Michael K.; Black, Deborah; Tran, Lavinia; Reid, Christopher M.; Bannon, Paul G.

doi:10.1016/j.hlc.2016.04.014

Cited by 13 publications

(22 citation statements)

References 28 publications

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“…Gaier, et al [18] found cerebral perfusion pressure to be at least as effective as the flow rate for cerebral circulation and indicated that the cerebral perfusion pressure was highest with ascending aorta and axillary artery cannulation. In another study, unilateral and bilateral cerebral perfusion were found to have no effect on mortality, but unilateral perfusion was reported to have high risk for neurological dysfunction due to variations of the circle of Willis, thus the bilateral perfusion may be more effective than study conducted by Dhuranlar, et al [10] involving 837 patients with elective, urgent and emergent ascending and aortic arch aneurysm, the PND was 2.3%. In 501 patient undergoing aortic arch surgery performed by Khaladj, et al [11], TND was 13.4% and PND was 9.6%.…”

Section: Discussionmentioning

confidence: 84%

Neurologic and Renal Outcomes of Elective Proximal Aortic Repair and Current Cannulation Trends

İşcan¹,

Eygi²

2018

Int J Clin Cardiol

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Background: We aimed to determine factors influencing neurologic dysfunction and acute kidney injury (AKI) in patients undergoing elective aortic aneurysm repair and we also investigated them according to cannulation sites. Methods: From January 2012 to April 2018, 112 patients received proximal aortic repair. We used aortic arch, axillary and femoral artery cannulation. Antegrade cerebral protection and total circulatory arrest were used. Results: We detected 6 (5.4%) transient and 6 (5.4%) permanent neurologic dysfunction. Peripheral arterial diseases, total bypass time, transfusion and AKI showed correlation with neurologic dysfunction. Peripheral arterial diseases and AKI were independent risk factors (p < 0.05). AKI was reported in 38 patients. Postoperative revision, cross-clamp time, total bypass time and total circulatory arrest showed correlation with AKI (p < 0.05). Patients with neurologic dysfunction (66%) and patients with AKI (63%) had more femoral cannulation. Conclusion: Proximal aortic repair can be achieved with low morbidity and mortality using appropriate cerebral protection and cannulation technique. Neurologic dysfunction and AKI are important factors for aortic surgery and femoral cannulation has the highest risk for neurologic dysfunction and AKI.

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Section: Discussionmentioning

confidence: 84%

Neurologic and Renal Outcomes of Elective Proximal Aortic Repair and Current Cannulation Trends

İşcan¹,

Eygi²

2018

Int J Clin Cardiol

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“…In addition, Pacini et al [15] reported a 6.9% early-term mortality rate. Dhurandhar et al [1] reported an overall 5.9% early mortality rate (30 days) and a 3.6% elective surgery mortality. Furthermore, Pacini et al [15] reported a 274-patient study in that composite valve graft replacement was performed with a 6.9% early mortality rate.…”

Section: Discussionmentioning

confidence: 98%

“…Mataraci et al [14] reported longterm results of 254 patients: overall survival rates in one, three, and five years were 88.4%, 87.4%, and 84.5%, respectively, which was directly affected by the diagnosis of Marfan syndrome. Dhurandhar et al [1] reported that the overall survival rate was 84.4% in five years and 68.7% in 10 years. Pacini et al [15] reported five-year and 10-year survival rates as 77.7% and 63%, respectively.…”

Section: Discussionmentioning

confidence: 99%

“…Dhurandhar et al [1] reported that the most common etiology of patients who underwent Bentall procedure was congenital bicuspid aortic valves (28.3%), besides that, Marfan syndrome and annuloaortic ectasia constituted 19.3%. was increased while LV mass was reduced after the Bentall procedure on long-term follow-up (mean 117±41 months).…”

Section: Discussionmentioning

confidence: 99%

“…The yearly incidence of mediastinal and thoracic aortic aneurysm is estimated to be about 4.5/100.000 in total population and 60% of them are related to the aortic root and ascending aortic aneurysm [1] . Early surgery is recommended due to dissection or rupture risk [2] .…”

Section: Introductionmentioning

confidence: 99%

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Influence of Bentall Procedure on Left Ventricular Function

Deşer

Demirağ

Yücel

et al. 2020

Braz J Cardiovasc Surg

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Objective: To evaluate the influence of Bentall procedure on left ventricular function and condition on long-term follow-up. Methods: Seventy-three consecutive patients who underwent an aortic root and ascending aorta replacement with composite valve button Bentall or flanged Bentall technique, from January 2007 to November 2018, were included in this retrospective study. Results: Postoperative left ventricular ejection fraction significantly increased (52.14±11.38 vs. 56.79±11.36; P=0.041), left ventricular end-systolic diameter significantly reduced (38.25±9.31 mm vs. 34.17±9.15 mm; P=0.027), left ventricular end-diastolic diameter significantly reduced (56.42±9.72 mm vs. 51.58±9.03 mm; P=0.01), and left atrial diameter significantly reduced (45.33±12.77 mm vs. 39.25±12.41 mm; P=0.01), compared to preoperative values. Our long-term survival results are comparable with previous studies in which survival rates in 5 years and 10 years were 83.5% and 69.8%, respectively. In comparing patients according to their New York Heart Association (NYHA) functional class, it was shown that their postoperative functional capacity was improved during the follow-up period (2. 1±0.56 vs. 1.2±0.42; P=0.001).Conclusion: The Bentall procedure significantly improved the left ventricular systolic function and condition and decreased the left ventricular end-systolic and end-diastolic diameters and the left atrial diameter on long-term follow-up, based on the transthoracic echocardiography. Bentall procedure can be performed with acceptable mortality and morbidity rates on long-term follow-up.

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Valve-sparing root replacement and composite valve graft replacement in patients with aortic regurgitation: From the Japan Cardiovascular Surgery Database

Kunihara

Ichihara

Matsubara

et al. 2019

The Journal of Thoracic and Cardiovascular Surgery

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The Aortic Root Replacement Procedure: 12-year Experience from the Australian and New Zealand Society of Cardiac and Thoracic Surgeons Database

Cited by 13 publications

References 28 publications

Neurologic and Renal Outcomes of Elective Proximal Aortic Repair and Current Cannulation Trends

Neurologic and Renal Outcomes of Elective Proximal Aortic Repair and Current Cannulation Trends

Influence of Bentall Procedure on Left Ventricular Function

Valve-sparing root replacement and composite valve graft replacement in patients with aortic regurgitation: From the Japan Cardiovascular Surgery Database

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