The Bentall procedure: Is it the gold standard? A series of 597 consecutive cases

Etz, Christian D.; Bischoff, Moritz S.; Bodian, Carol; Roder, Fabian; Brenner, Robert; Griepp, Randall B.; Luozzo, Gabriele Di

doi:10.1016/j.jtcvs.2010.07.033

Cited by 98 publications

(98 citation statements)

References 18 publications

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“…On 5, 10, and 15 years actuarial composite valve graft-related event-free survival was 97%, 82% and 54%, respectively (4-7). There was no difference in long-term survival between bioprosthetic and mechanical valves (8). All-cause mortality and valve-related complications were not significantly different between these two types of prostheses (9).…”

Section: Introductionmentioning

confidence: 84%

“…There were no bleeding events in our series. Valve-related complications after VSRR are fewer compared with Bentall procedure which, in the literature, arose with a frequency of 13% for reoperation, 7% for nonstructural dysfunction, 4-18% for thromboembolic events, 12% for endocarditis, 9-13% for bleeding events (5,8,9,19).…”

Section: Discussionmentioning

confidence: 99%

“…All-cause mortality and valve-related complications were not significantly different between these two types of prostheses (9). However, a potential shortcoming to this procedure is the risk of valve-related events: reoperation, particularly structural deterioration for biologic valves, bleeding (9-11%) and thromboembolism (4-11%) for mechanical aortic valve (5,8). The linearized rate for valve/ascending aorta reoperation was 0.86% after Bentall procedure with mechanical valves and 2.5% after Bentall with the bioprosthetic valve (8).…”

Section: Introductionmentioning

confidence: 97%

“…However, a potential shortcoming to this procedure is the risk of valve-related events: reoperation, particularly structural deterioration for biologic valves, bleeding (9-11%) and thromboembolism (4-11%) for mechanical aortic valve (5,8). The linearized rate for valve/ascending aorta reoperation was 0.86% after Bentall procedure with mechanical valves and 2.5% after Bentall with the bioprosthetic valve (8). A good quality of life described by health-related quality-of-life (HRQOL), was highlighted after Bentall procedure, also independent of the type of prosthesis (9).…”

Section: Introductionmentioning

confidence: 99%

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Valve-sparing aortic root replacement—midterm outcomes and quality of life

Bata¹,

D’Ostrevy²,

Pereira³

et al. 2017

Cardiovasc. Diagn. Ther.

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Background: This study evaluated the midterm outcomes, the valve related events and quality of life of patients treated by valve-sparing aortic root replacement (VSRR). Results: Hospital mortality was 1%. There were 10 late deaths (11%) including 5 cardiac cases. Two patients (2%) required an aortic valve or graft prosthesis reoperation. Aortic valve endocarditis occurred in two patients. Thromboembolic events were reported in three patients. None of the following morbidity has been observed: structural valve deterioration, nonstructural dysfunction, valve thrombosis, bleeding event.The 5-and 8-year survival were 92% and 88%, respectively. The 8-year survival free from cardiac death was 88%. The mean of EuroQoL visual analogue scale (EQ VAS) and EQ index were respectively 83±15 (range 30-100) and 0.94±0.12 (range 0.5-1).Conclusions: Eight-year clinical improvement, function of the spared aortic valve and quality of life after valve sparing aortic root surgery appear excellent.

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Section: Introductionmentioning

confidence: 84%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 97%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Valve-sparing aortic root replacement—midterm outcomes and quality of life

Bata¹,

D’Ostrevy²,

Pereira³

et al. 2017

Cardiovasc. Diagn. Ther.

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show abstract

“…This procedure includes the replacement of the aortic valve, aortic root and ascending aorta with the reimplantation of the coronary arteries [110]. Excellent long-term results have been observed with the Bentall procedure with respect to survival in patients with aortic valve disease and aorta dilatation [111]. This procedure is a suitable intervention in older patients with severe BAV pathology with normal-sized sinuses and dilatation of the supracoronary ascending aorta.…”

Section: Bentall Proceduresmentioning

confidence: 99%