دورية أكاديمية
[Bio-Bentall Procedure in Patients Over 65 Years of Age].
| العنوان: | [Bio-Bentall Procedure in Patients Over 65 Years of Age]. |
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| المؤلفون: | Iida Y; Department of Cardiovascular Surgery, Saiseikai Yokohamashi Tobu Hospital, Yokohama, Japan., Ichinokawa T, Kuroo K, Inaba Y, Hachiya T, Shimizu H |
| المصدر: | Kyobu geka. The Japanese journal of thoracic surgery [Kyobu Geka] 2024 Jul; Vol. 77 (7), pp. 491-495. |
| نوع المنشور: | English Abstract; Journal Article |
| اللغة: | Japanese |
| بيانات الدورية: | Publisher: Nankodo Country of Publication: Japan NLM ID: 0413533 Publication Model: Print Cited Medium: Print ISSN: 0021-5252 (Print) Linking ISSN: 00215252 NLM ISO Abbreviation: Kyobu Geka Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Tokyo : Nankodo Original Publication: Tokyo. |
| مواضيع طبية MeSH: | Aortic Valve*/surgery, Humans ; Male ; Female ; Aged ; Aged, 80 and over ; Heart Valve Prosthesis Implantation ; Treatment Outcome ; Heart Valve Prosthesis ; Bioprosthesis |
| مستخلص: | Objective: This study aimed to review the results of the bio-Bentall procedure in patients over 65 years of age at our hospital. Materials and Methods: Of the 65 aortic root replacement procedures performed at our hospital from October 2015 to January 2024, we reviewed 45 bio-Bentall procedures performed on patients 65 years of age or older. These patients consisted of 39 men and 6 women, with a mean age of 72 years. There were 5 patients with aortic dissection and 40 patients with non-dissection, and 6 patients had reoperation. There were 19 concomitant surgeries, including coronary artery bypass grafting, valve surgery, and aortic procedure. The bioprosthetic valves used were Magna EASE in 17 patients, Inspiris in 25 patients, Trifecta in 2 patients, and Avalus in 1 patient. All Valsalva grafts used were J Graft Valsalva. Results: The mean intubation time was 19 hours, and the mean intensive care unit( ICU) stay was 6 days. The number of in-hospital deaths was 3 patients, and the mean length of hospital stay was 18 days. The remote mortality rate was 4( 1 heart failure, 2 lung cancer, and 1 pancreatic cancer). There have been no case of reoperation, structural valve deterioration (SVD), or thromboembolism to date, and the rates of freedom of reoperation, SVD, and thromboembolism were all 100%. The 1-, 3-, 5-, and 7-year survival rates were 91.1%, 86.4%, 83.6%, and 83.6%, respectively. Conclusion: The surgical and long-term outcomes of the bio-Bentall procedure in patients over 65 years of age were stable. In patients who may outlive the bioprosthetic valve life, it is important to perform an appropriate and durable Bentall procedure, including valve-in-valve, prioritizing the future of each patient. |
| تواريخ الأحداث: | Date Created: 20240715 Date Completed: 20240715 Latest Revision: 20240715 |
| رمز التحديث: | 20240716 |
| PMID: | 39009546 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 0021-5252 |
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