Bentall procedure as a lifesaving surgery: A single center experience

Al-Mudhaffar,Saif S.; Alwan,Ala; Ouj,Rafid; Mowaffaq,Abdullah; Kakamad,Fahmi H.; Ahmad,Okba F.; Mohammed-Saeed,Dana H.; Ali,Razhan K.; Abdalla,Berun A.; Mohammed,Shvan H.; Salih,Abdulwahid M.

doi:10.3892/mi.2023.68

Bentall procedure as a lifesaving surgery: A single center experience

Authors:
- Saif S. Al-Mudhaffar
- Ala Alwan
- Rafid Ouj
- Abdullah Mowaffaq
- Fahmi H. Kakamad
- Okba F. Ahmad
- Dana H. Mohammed-Saeed
- Razhan K. Ali
- Berun A. Abdalla
- Shvan H. Mohammed
- Abdulwahid M. Salih
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Affiliations: Department of Cardiac Surgery, Ibn Al‑Bitar Specialized Center for Cardiac Surgery, Baghdad 10011, Iraq, College of Medicine, University of Sulaimani, Sulaimani, Kurdistan 46000, Iraq, Department of Surgery, Mosul Cardiac Center, Mosul 41001, Iraq, Department of Surgery, Shar Hospital, Sulaimani, Kurdistan 46000, Iraq, Smart Research Center, Smart Health Tower, Sulaimani, Kurdistan 46000, Iraq, Kscien Organization, Sulaimani, Kurdistan 46000, Iraq
Published online on: January 10, 2023 https://doi.org/10.3892/mi.2023.68
Article Number: 8
Copyright: © Al-Mudhaffar et al. This is an open access article distributed under the terms of Creative Commons Attribution License.

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Abstract

The Bentall procedure is a surgical technique used in the management of aortic root abnormalities with ascending aorta and aortic valve issues. The present study aimed to evaluate the outcomes of 18 patients treated with the Bentall procedure in a single center. The present study was a single‑center retrospective case series conducted over a period of 3 years. The patients had either acute ascending dissection and/or dilated ascending aorta with aortic valve dysfunction. The Bentall procedure was performed via standard median sternotomy. St. Jude Medical composite grafts with a valve were applied in all cases. A total number of 18 patients with either acute ascending dissection and/or dilated ascending aorta with aortic valve dysfunction were included in the study. The age of the participants ranged from 27‑60 years. The ratio of males to females was 16:2 (males, 88.8%). The symptoms developed 3‑4 days prior to hospital admission. Chest pain was the most common presenting symptom (n=10, 55.5%). Hypertension was the most common risk factor (n=12, 66.6%). In total, 14 cases underwent emergency surgery (77.7%). The emergency surgery was performed in 9 patients within 24 h of arrival owing to the association of aortic root dissection with tamponade. For the other cases, the surgery was performed within 2 and 7 days (n=5, 27.7% and n=4, 22.2%) respectively. Early post‑operative complications occurred in 5 patients (27.7%). On the whole, as demonstrated herein, the modifications of the Bentall procedure have a notable impact on decreasing the overall mortality rates. Raising the awareness of clinicians and the general population as regards aortic dissection may aid in the early referral of patients to specialized centers and may thus decrease the overall mortality rate.

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