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Influence of Bentall Procedure on Left Ventricular Function

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...

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Autores principales: Deşer, Serkan Burç, Demirag, Mustafa Kemal, Yucel, Semih Murat, Yildirim, Ufuk, Güçlü, Murat Muzaffer, Polat, Merve, Kolbakir, Fersat, Keceligil, Hasan Tahsin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Sociedade Brasileira de Cirurgia Cardiovascular 2020
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Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7089754/
https://www.ncbi.nlm.nih.gov/pubmed/32270958
http://dx.doi.org/10.21470/1678-9741-2019-0147
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author Deşer, Serkan Burç
Demirag, Mustafa Kemal
Yucel, Semih Murat
Yildirim, Ufuk
Güçlü, Murat Muzaffer
Polat, Merve
Kolbakir, Fersat
Keceligil, Hasan Tahsin
author_facet Deşer, Serkan Burç
Demirag, Mustafa Kemal
Yucel, Semih Murat
Yildirim, Ufuk
Güçlü, Murat Muzaffer
Polat, Merve
Kolbakir, Fersat
Keceligil, Hasan Tahsin
author_sort Deşer, Serkan Burç
collection PubMed
description 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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spelling pubmed-70897542020-03-26 Influence of Bentall Procedure on Left Ventricular Function Deşer, Serkan Burç Demirag, Mustafa Kemal Yucel, Semih Murat Yildirim, Ufuk Güçlü, Murat Muzaffer Polat, Merve Kolbakir, Fersat Keceligil, Hasan Tahsin Braz J Cardiovasc Surg Original Article 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. Sociedade Brasileira de Cirurgia Cardiovascular 2020 /pmc/articles/PMC7089754/ /pubmed/32270958 http://dx.doi.org/10.21470/1678-9741-2019-0147 Text en http://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Deşer, Serkan Burç
Demirag, Mustafa Kemal
Yucel, Semih Murat
Yildirim, Ufuk
Güçlü, Murat Muzaffer
Polat, Merve
Kolbakir, Fersat
Keceligil, Hasan Tahsin
Influence of Bentall Procedure on Left Ventricular Function
title Influence of Bentall Procedure on Left Ventricular Function
title_full Influence of Bentall Procedure on Left Ventricular Function
title_fullStr Influence of Bentall Procedure on Left Ventricular Function
title_full_unstemmed Influence of Bentall Procedure on Left Ventricular Function
title_short Influence of Bentall Procedure on Left Ventricular Function
title_sort influence of bentall procedure on left ventricular function
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7089754/
https://www.ncbi.nlm.nih.gov/pubmed/32270958
http://dx.doi.org/10.21470/1678-9741-2019-0147
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