Redo-Bentall surgery for aortic root lesions:a report of case series
10.16016/j.2097-0927.202304019
- VernacularTitle:再次Bentall手术应用于主动脉根部病变的病例系列报道
- Author:
Xiaobo PENG
1
;
Fan LI
;
Tianbo LI
;
Chencheng LIU
;
Bo XU
;
Han XIA
;
Yingbin XIAO
;
Yong WANG
Author Information
1. 400037 重庆,陆军军医大学(第三军医大学)第二附属医院全军心血管外科研究所
- Keywords:
aortic disease;
reoperation;
infective endocarditis;
Behcet's disease
- From:
Journal of Army Medical University
2024;46(10):1158-1163
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the clinical efficacy of Redo-Bentall surgery in the reoperation of aortic root lesions.Methods A retrospective analysis was performed on 46 patients who underwent Redo-Bentall surgery for aortic root lesions in our department from June 2010 to April 2022.They were 35 males and 11 females,at a mean age of 43.37±12.79 years,in 4.96±6.76 years since the last operation.General clinical data in perioperative period and during follow-up were collected and analyzed.Kaplan-Meier survival analysis was used to compare the survival rates of each etiological group.Results There were 9 cases of central end otitis,12 cases of Behset's disease,and 25 cases of other causes.After operation,4 cases(8.70％)experienced cardiac arrest,4 cases(8.70％)renal failure,2 cases(4.35％)gastrointestinal bleeding,2 cases(4.35％)new third-degree atrioventricular block and 2 cases(4.35％)permanent pacemaker placement.In perioperative period,3 cases(6.52％)died in hospital.During a mean follow-up of 5.03±3.27 years after discharge,5 cases(11.63％)were lost to follow-up,1 case died(2.33％),1 case had lacunar infarction(2.33％),and no severe bleeding or embolism complications was observed in the rest patients.The long-term survival rate was significantly lower in the endocarditis group(62.3％)and the Behcet's disease group(70％)than the other etiological groups(80％,P＜0.05).Conclusion The application of Redo-Bentall in the reoperation of aortic root lesions is safe and effective,but the survival rate is quite lower in the patients with infective endocarditis and Behcet's disease.
