| Long-term results of aortic root replacement: 15 years' experience. | |
| | |
MedLine Citation:
|
PMID: 19463595 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
BACKGROUND: Long-term results of aortic root replacements and the factors affecting long-term mortality were analyzed. METHODS: We operated on 254 patients from June 1993 to November 2008 for aortic root replacement with Bentall de Bono procedure. Two hundred five patients were male (80.7%) and 49 patients (19.3%) were female. The mean age was 48.3 +/- 14.7 years (range, 14 to 78 years). We performed 72 concomitant procedures in 69 patients, and the most commonly performed procedure was coronary artery bypass grafting in 37 patients (14.6%). The most common indication for aortic root replacement was aneurysm in 235 patients (92.5%). Thirty-four patients (13.4%) had Marfan syndrome. Hypothermic circulatory arrest was used in 52 patients (20.5%). After removing the clamp, we had to reclamp the aorta in 26 patients (10.2%) undergoing operation. RESULTS: Postoperatively 30 patients (11.8%) had in-hospital mortality. The late mortality was 2.8% (7 patients). The most common reason for hospital mortality was low cardiac output (18 in 30 patients; 51.4%). Neurologic complications were seen in 16 patients (6.3%). The mean duration of hospital stay was 16.6 +/- 11.3 days (range, 5 to 77 days). Postoperative follow-up was 6.3 +/- 4.5 years (range, 0 to 15.5 years) on average. Late mortality was significantly affected by Marfan syndrome (p = 0.025) and reclamping the aorta (p = 0.036). Actuarial survival for the overall 254 patients is 88.4% +/- 2.1%, 87.4% +/- 2.2%, and 84.5% +/- 2.56% at 1, 3, and 10 years, respectively. CONCLUSIONS: The late-term results of aortic root replacement with the modified Bentall de Bono procedure are satisfactory. Survival is decreased in patients with Marfan syndrome and in the patients who had reclamping intraoperatively. |
| | |
Authors:
|
Ilker Mataraci; Adil Polat; Burak Kiran; Ahmet Calişkan; Altug Tuncer; Vedat Erentug; Kaan Kirali; Omer Isik; Cevat Yakut |
Related Documents
:
|
12173825 - Bioglue surgical adhesive--an appraisal of its indications in cardiac surgery. 9485135 - Risk of patients with severe aortic stenosis undergoing noncardiac surgery. 11082365 - Quality of life after aortic valve replacement at the age of >80 years. 17099975 - Use of bioglue in aortic surgery: proper application techniques and results in 92 patie... 21454335 - Efficacy and safety of pulmonary veins isolation by cryoablation for the treatment of p... 7386185 - A longterm isotope renography follow-up of patients following pregnancy complicated by ... |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: The Annals of thoracic surgery Volume: 87 ISSN: 1552-6259 ISO Abbreviation: Ann. Thorac. Surg. Publication Date: 2009 Jun |
Date Detail:
|
Created Date: 2009-05-25 Completed Date: 2009-06-05 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 15030100R Medline TA: Ann Thorac Surg Country: Netherlands |
Other Details:
|
Languages: eng Pagination: 1783-8 Citation Subset: AIM; IM |
Affiliation:
|
Kartal Kosuyolu Heart and Research Hospital, Cardiovascular Surgery Clinic, Istanbul, Turkey. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adolescent Adult Aged Aorta / surgery* Aortic Diseases / surgery* Female Follow-Up Studies Humans Male Middle Aged Postoperative Complications / epidemiology Retrospective Studies Time Factors Young Adult |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Long-term experience of surgical treatment for aortic regurgitation attributable to Behçet's diseas...
Next Document: Composite freestyle stentless xenograft with Dacron graft extension for ascending aortic replacement...