Document Detail

Treatment of ascending aorta disease with Bentall-De Bono operation using a mini-invasive approach.
MedLine Citation:
PMID:  18799964     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Use of minimally invasive approaches in cardiac surgery is increasing, obtaining a wide consensus and representing a challenging alternative technique for many surgeons. We report our experience of the treatment of ascending aorta disease using the Bentall-De Bono procedure through a minimally invasive approach. METHODS: Between September 1997 and June 2005 at 'Policlinico San Matteo', Pavia, we treated 40 patients affected by ascending aorta disease and aortic valve regurgitation using a Bentall-De Bono procedure through a minimally invasive approach, by means of a reversed T or J ministernotomy. Data were analyzed retrospectively. Thirty patients were men. Short-term and mid-term mortality and peroperative complications were analyzed. RESULTS: None of the patients died during the 30-day postoperative period. The mean ICU and length of stay times were 3.3 +/- 8.2 and 9.3 +/- 7.2 days, respectively. Six patients (15%) had one or more postoperative complications. One patient (2.5%) underwent early reoperation for bleeding. None underwent a procedure-related reoperation. Mechanical ventilation was longer than 48 h in five patients (12.5%). The mean follow-up was 38.4 +/- 31 months. Survival at 1, 3 and 5 years was, respectively, 94.1, 90.6 and 90.6%. At the end of the follow-up, there were 37 survivors. Twenty-seven (73%) patients were in New York Heart Association I, six (16%) were in New York Heart Association II and four (11%) were in New York Heart Association III. CONCLUSION: Reversed T or J ministernotomy is a feasible and secure alternative to complete sternotomy. The short incision may enhance the outcome and does not affect the survival, offering proper access to the anatomic structures.
Sossio Perrotta; Salvatore Lentini; Mauro Rinaldi; Andrea M D'armini; Fabrizio Tancredi; Giuseppe Raffa; Roberto Gaeta; Mario Viganó
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of cardiovascular medicine (Hagerstown, Md.)     Volume:  9     ISSN:  1558-2027     ISO Abbreviation:  J Cardiovasc Med (Hagerstown)     Publication Date:  2008 Oct 
Date Detail:
Created Date:  2008-09-18     Completed Date:  2008-10-30     Revised Date:  2009-05-28    
Medline Journal Info:
Nlm Unique ID:  101259752     Medline TA:  J Cardiovasc Med (Hagerstown)     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1016-22     Citation Subset:  IM    
Department of Cardiothoracic Surgery, University Hospital 'G. Martino', Messina, Italy.
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MeSH Terms
Aortic Aneurysm / complications,  mortality,  surgery*
Aortic Valve Insufficiency / complications,  mortality,  surgery*
Heart Valve Prosthesis Implantation* / adverse effects
Kaplan-Meiers Estimate
Length of Stay
Middle Aged
Respiration, Artificial
Retrospective Studies
Sternum / surgery
Surgical Procedures, Minimally Invasive
Time Factors
Treatment Outcome
Vascular Surgical Procedures* / adverse effects

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