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Title: Long-term results of modified bentall procedures: 18-year experience of the flanged technique
Authors: Igarashi, Takashi
Satokawa, Hirono
Sato, Yoichi
Takase, Shinya
Wakamatsu, Hiroki
Seto, Yuki
Kurosawa, Hiroyuki
Iwai-Takano, Masumi
Fujimiya, Tsuyoshi
Shinjo, Hiroharu
Ishida, Keiichi
Yokoyama, Hitoshi
Affiliation: 心臓血管外科学講座
Source title: Fukushima Journal of Medical Science
Volume: 67
Issue: 3
Start page: 119
End page: 127
Issue Date: 2021
Abstract: Objectives: To evaluate the early and late outcomes of the modified Bentall procedure with the flanged technique. Methods: We reviewed the medical records of 63 patients who had undergone root replacement by the modified Bentall procedure at our institute between January 2001 and December 2018. In most cases, we adopted a composite graft constructed with a mechanical valve or bioprosthesis and a Dacron graft by the flanged technique. Since 2011, we have used Valsalva grafts. Results: Mean age 57 ± 16 years, range 16-80, male 43 cases. The mean follow-up was 75 ± 56 months (range 0-216). Through April 1, 2020, we could follow up on 61 cases (97%) within a six-month period. Hospital mortality was 7.9% (4.8% in elective cases). In late follow-up, eight deaths were observed. In the bio-Bentall group (n=26), no deaths or major adverse valve-related events (MARVEs) occurred. In the mechanical Bentall group (n=37), seven cases of MARVEs, including two cerebral hemorrhages and one cerebral embolism, were observed. All patients were free from MARVEs at 5 years post procedure in the bio-Bentall group, and 93.8% and 76.8% were event-free at 5 years and 10 years, respectively, in the mechanical Bentall group. Conclusions: The 18-year results of the modified Bentall procedure were acceptable, providing excellent outcomes in the bio-Bentall group. The flanged technique enabled the use of a larger prosthesis, which may have resulted in good durability with the bio-Bentall procedure.
Publisher: The Fukushima Society of Medical Science
Publisher (Alternative foam): 福島医学会
language: eng
URI: http://ir.fmu.ac.jp/dspace/handle/123456789/1622
Full text URL: http://ir.fmu.ac.jp/dspace/bitstream/123456789/1622/1/FksmJMedSci_67_p119.pdf
ISSN: 0016-2590
2185-4610
DOI: 10.5387/fms.2021-06
PubMed ID: 34744087
Related Page: https://doi.org/10.5387/fms.2021-06
Rights: © 2021 The Fukushima Society of Medical Science. This article is licensed under a Creative Commons [Attribution-NonCommercial-ShareAlike 4.0 International] license.
Rights: https://creativecommons.org/licenses/by-nc-sa/4.0/
Appears in Collections:Vol.67 (2021)

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FksmJMedSci_67_p119.pdf450.14 kBAdobe PDFDownload

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