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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...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Sociedade Brasileira de Cirurgia Cardiovascular
2020
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Materias: | |
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. |
format | Online Article Text |
id | pubmed-7089754 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Sociedade Brasileira de Cirurgia Cardiovascular |
record_format | MEDLINE/PubMed |
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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