[采用法国袖套技术的改良Bentall手术的结果]

[Outcomes of Modified Bentall Procedure with French Cuff Technique].

作者信息

Morisaki Akimasa, Takahashi Yosuke, Sakon Yoshito, Shibata Toshihiko

机构信息

Department of Cardiovascular Surgery, Osaka Metropolitan University, Osaka, Japan.

出版信息

Kyobu Geka. 2024 Jul;77(7):484-490.

PMID:39009545

Abstract

BACKGROUND

We evaluated early and mid-term outcomes of modified Bentall procedure with French cuff technique for aortic root disease.

METHODS

Between 2017 and 2024, 45 patients underwent modified Bentall procedure with French cuff technique. We excluded patients who had cardiopulmonary resuscitation. The mean age was 64.8± 14.0 years, and 35 patients were male( 77.8%). The mean predicted operative mortality rate according to JapanSCORE 2 was 11.2%.

RESULTS

No patients had any trouble with bleeding from the aortic root. Hospital mortality was 2.2%, as one patient died due to a fungal infection. Twelve patients( 26.7%) experienced complications during hospitalization. The 3- and 5-year overall survival rates were 97.7% and 88.0%, respectively. Freedom from reoperation was 93.7% and 93.7% at 3 and 5 years, respectively. One patient underwent re-aortic valve replacement due to a stuck valve, and one underwent re-Bentall due to a seroma. There were no pseudoaneurysm formations of the aortic root and coronary ostia during the followed-up.

CONCLUSIONS

The modified Bentall procedure with French cuff technique may be a useful technique with good outcomes.

摘要

背景

我们评估了采用法式袖套技术的改良Bentall手术治疗主动脉根部疾病的早期和中期结果。

方法

2017年至2024年期间，45例患者接受了采用法式袖套技术的改良Bentall手术。我们排除了接受过心肺复苏的患者。平均年龄为64.8±14.0岁，35例患者为男性（77.8%）。根据日本心脏手术风险评分系统2预测的平均手术死亡率为11.2%。

结果

没有患者出现主动脉根部出血问题。住院死亡率为2.2%，有1例患者因真菌感染死亡。12例患者（26.7%）在住院期间出现并发症。3年和5年的总生存率分别为97.7%和88.0%。3年和5年免于再次手术的比例分别为93.7%和93.7%。1例患者因瓣膜卡滞接受了再次主动脉瓣置换术，1例因血清肿接受了再次Bentall手术。随访期间未出现主动脉根部和冠状动脉开口假性动脉瘤形成。