Mid-term outcomes of modified valve-sparing aortic root replacement versus the Bentall procedure for middle-aged Chinese patients with acute DeBakey I aortic dissection: a single-center retrospective study
| العنوان: | Mid-term outcomes of modified valve-sparing aortic root replacement versus the Bentall procedure for middle-aged Chinese patients with acute DeBakey I aortic dissection: a single-center retrospective study |
|---|---|
| المؤلفون: | Liang-Wan Chen, Xiaodong Chen, Zhihuang Qiu, Xingfeng Chen, Yue Shen, Qingsong Wu, Zhisheng Wang |
| المصدر: | BMC Cardiovascular Disorders, Vol 21, Iss 1, Pp 1-9 (2021) BMC Cardiovascular Disorders |
| بيانات النشر: | Springer Science and Business Media LLC, 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | Male, Valve-sparing aortic root replacement, Aortic valve, Time Factors, medicine.medical_treatment, Bentall procedure, 030204 cardiovascular system & hematology, Single Center, Postoperative Complications, 0302 clinical medicine, Computed tomography angiography, Heart Valve Prosthesis Implantation, Aortic dissection, medicine.diagnostic_test, Middle Aged, Aortic Aneurysm, Cardiac surgery, Treatment Outcome, medicine.anatomical_structure, Aortic Valve, Heart Valve Prosthesis, Acute Disease, Female, Stents, Cardiology and Cardiovascular Medicine, Reoperation, China, Re-operation, medicine.medical_specialty, Acute DeBakey I aortic dissection, Thromboembolism/bleeding events, Blood Vessel Prosthesis Implantation, Aortic root surgery, 03 medical and health sciences, medicine, Humans, Diseases of the circulatory (Cardiovascular) system, Retrospective Studies, Middle-aged patients, business.industry, Research, Stent, medicine.disease, Blood Vessel Prosthesis, Surgery, Aortic Dissection, 030228 respiratory system, Endoleakage, RC666-701, business |
| الوصف: | BackgroundThe mid-term and long-term efficacies of valve preservation in acute DeBakey I aortic dissection (AD) are controversial. Thus, it is unclear whether middle-aged patients with acute DeBakey I AD should undergo modified valve-sparing procedures or the Bentall procedure in an emergency setting.MethodsThis study included 213 middle-aged Chinese patients (under 60 years old) who were treated for acute DeBakey I AD between January 2009 and June 2015. The treatments involved modified valve-sparing aortic root replacement (VSARR) (117 patients) or the Bentall procedure (96 patients). Preoperative, intraoperative, postoperative, and follow-up data were analyzed. Echocardiography and thoracoabdominal computed tomography angiography (CTA) findings were reviewed at 3 months, 1 year, and then annually after surgery.ResultsNo significant differences were observed in terms of the preoperative, intraoperative, in-hospital mortality, and postoperative parameters. There were also no significant differences in aortic regurgitation (AR). However, follow-up examinations using CTA revealed that 6 patients had endoleakage at the distal end of the triple-branched stent (0/110 patients [0.0%] vs. 6/90 patients [6.7%],P = 0.022). The anticoagulation-related thromboembolism/bleeding events was significantly lower in group A than in group B (0/110 patients [0.0%] vs. 11/90 patients [11.1%],P = 0.001). And postoperative aortic valve re-operation rate was significantly lower in group A (1/110 patients [0.9%] vs. 8/90 patients [8.9%],P = 0.020). There was no significant difference in survival during the follow-up period (log-rankP > 0.05).ConclusionFor middle-aged patients with acute DeBakey I AD, VSARR were associated with a lower rate of endoleakage at the distal end of the triple-branched stent, thromboembolism/bleeding events and aortic valve re-operation (vs. the Bentall procedure). |
| تدمد: | 1471-2261 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::9a4f34d3076cc3238528dbe083670cb2Test https://doi.org/10.1186/s12872-021-02014-5Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....9a4f34d3076cc3238528dbe083670cb2 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 14712261 |
|---|