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https://www.readbyqxmd.com/read/29762936/bentall%C3%A2-s-procedure-in-pediatric-mixed-connective-tissue-disease-syndrome-management-of-pediatric-aortic-aneurysm-a-brief-review
#1
Krithika Ramaprabhu, Om Prakash, Noveen Davidson, Sanjay Bhalero, Satish Radhakrishnan, Robert Coelho
Mixed connective tissue disease (MCTD) syndrome in children may lead to large aortic aneurysms, which in turn pose a difficult surgical problem. Valve-sparing root replacement is not always a viable option as the disease process invariably affects the aortic valve leaflets. Among pediatric patients, the Ross procedure is contraindicated on account of weakness of the pulmonary root, while Bentall surgery is the 'gold standard' treatment of aortic aneurysm, with reproducible and excellent long-term results. The case is presented of a three-year-old girl with a large thoracic aortic aneurysm in whom Bentall's surgery was performed, with a good result...
September 2017: Journal of Heart Valve Disease
https://www.readbyqxmd.com/read/29701363/david-operation-in-the-bicuspid-aortic-valve-population
#2
Pedro Magro, Marta Marques, Miguel Abecacis
INTRODUCTION: Bicuspid aortic valve (BAV) is the single most common cardiac congenital mal-formation with a prevalence of 1-2%. It is frequently associated with aortic disease including annular ectasia. Increasing evidence suggests that valve-sparing root re-implantation surgery combined with primary aortic valve repair can be performed with good midterm results in patients with BAV. METHODS: Our objective is to compare the short and long term results of David procedure in BAV patients with aortic root ectasia...
July 2017: Revista Portuguesa de Cirurgia Cardio-torácica e Vascular
https://www.readbyqxmd.com/read/29683812/current-trends-in-aortic-root-surgery-the-mini-bentall-approach
#3
Djamila Abjigitova, Georgia Panagopoulos, Oleg Orlov, Vishal Shah, Konstadinos A Plestis
OBJECTIVE: The mini-sternotomy approach is becoming a widespread technique for aortic valve surgery. However, its safety for aortic root replacement has yet to be established. The aim of the present study was to compare the operative outcomes of patients who underwent aortic root replacement via upper mini-sternotomy (mini-Bentall) to patients who underwent Bentall procedure via median sternotomy (full-sternotomy Bentall). METHODS: Between November 1998 and November 2016, 91 consecutive patients underwent full-sternotomy Bentall procedure and 26 patients underwent mini-Bentall procedure...
April 20, 2018: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery
https://www.readbyqxmd.com/read/29657952/surgical-treatment-of-annuloaortic-ectasia-replace-or-repair
#4
Andrea De Martino, Federico Del Re, Stefania Blasi, Michele Celiento, Giacomo Ravenni, Stefano Pratali, Aldo D Milano, Uberto Bortolotti
Background: Patients with annuloaortic ectasia may be surgically treated with modified Bentall or David I valve-sparing procedures. Here, we compared the long-term results of these procedures. Methods: A total of 181 patients with annuloaortic ectasia underwent modified Bentall (102 patients, Group 1) or David I (79 patients, Group 2) procedures from 1994 to 2015. Mean age was 62 ± 11 years in Group 1 and 64 ± 16 years in Group 2. Group 1 patients were in poorer health, with a lower ejection fraction and higher functional class...
October 2017: Aorta (Stamford, Conn.)
https://www.readbyqxmd.com/read/29614908/two-cases-of-aortic-root-replacement-after-fontan-completion
#5
Kenji Suzuki, Takahiko Sakamoto, Narutoshi Hibino, Shigeyuki Aomi, Toshiharu Shin'oka, Kenji Yamazaki
Aortic root dilatation is a well-known complication in patients with congenital aortic valve malformation, tetralogy of Fallot, or a double outlet right ventricle. We report two rare patients who underwent composite graft replacement of the aortic root with a mechanical valve, the so-called Bentall-type operation, after Fontan completion. The pathological examination on the resected aortic wall revealed mucoid degeneration in tunica media and elastic fiber fragmentation. Our report emphasizes the need for close observation of these patients over a long-term period...
January 1, 2018: World Journal for Pediatric & Congenital Heart Surgery
https://www.readbyqxmd.com/read/29609891/bentall-procedure-after-previous-aortic-valve-or-complete-root-replacement-usefulness-of-self-assembled-aortic-valve-conduit
#6
Paul P Urbanski, Fitsum Lakew, Witold Dinstak, Nicolas Heinz, Michael Zacher, Vadim Irimie, Wilko Reents
OBJECTIVES: The aim of this study was to evaluate surgical results of complete aortic root replacement using self-assembled valve composite graft in the setting of destroyed aortic annulus after previous valve replacement. METHODS: Aortic root pathology being addressed by complete root replacement was combined with partial or complete absence of annular tissue in 112 consecutive patients. Eighty-eight had undergone a previous replacement of the aortic valve and 24 had undergone root replacement with a valved conduit...
March 11, 2018: Journal of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/29596818/clinical-outcomes-of-root-reimplantation-and-bentall-procedure-propensity-score-matching-analysis
#7
Heemoon Lee, Yang Hyun Cho, Kiick Sung, Wook Sung Kim, Kay-Hyun Park, Dong Seop Jeong, Pyo Won Park, Young Tak Lee
BACKGROUND: This study aimed to evaluate the clinical outcomes of aortic root replacement(ARR) surgery:Root reimplantation as valve-sparing root replacement(VSR) and the Bentall procedure. METHODS: We retrospectively reviewed 216 patients who underwent ARR between 1995 and 2013 at Samsung Medical Center. Patients were divided into two groups, depending on the procedure they underwent: Bentall(n=134) and VSR(n=82). The mean follow-up duration was 100.9±56.4 months...
March 26, 2018: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/29553067/stanford-type-a-acute-aortic-dissection-with-intimal-intussusception
#8
Yohsuke Yanase, Akihito Ohkawa, Satomi Inoue, Yukihiro Niida
In case of complete circumferential dissection of the ascending aorta, the dissected flap has the potential to fold backwards, causing several complications. We report two cases of Stanford type A acute aortic dissection (AAD) whose intimal flaps intussuscepted into the left ventricular outflow tract.Case 1: A 41-year-old man with AAD in whom transthoracic echocardiography (TTE) showed the dissected flap as folded back into the left ventricular outflow tract, causing severe aortic regurgitation (AR) with rapidly progressing acute pulmonary edema...
March 17, 2018: Annals of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/29546810/total-artificial-heart-implantation-in-a-young-marfan-syndrome-patient
#9
Prashant Rao, Jack B Keenan, Taufiek K Rajab, Samuel Kim, Richard Smith, Orazio Amabile, Zain Khalpey
INTRODUCTION: Cardiovascular complications represent the leading cause of morbidity and mortality in patients with Marfan syndrome. Here, we describe a unique case where a total artificial heart was implanted in a young Marfan syndrome woman. METHODS: A 22-year-old postpartum African American female with Marfan syndrome developed multiple severe valve dysfunction and biventricular failure that was refractory to medical management. She previously had a Bentall procedure for Type A aortic dissection and repair of a Type B dissection...
March 2018: International Journal of Artificial Organs
https://www.readbyqxmd.com/read/29536749/coping-strategies-and-self-esteem-in-the-high-risk-offspring-of-bipolar-parents
#10
Sarah M Goodday, Richard Bentall, Steven Jones, Arielle Weir, Anne Duffy
OBJECTIVES: This study investigated whether there were differences in coping strategies and self-esteem between offspring of parents with bipolar disorder (high-risk) and offspring of unaffected parents (control), and whether these psychological factors predicted the onset and recurrence of mood episodes. METHODS: High-risk and control offspring were followed longitudinally as part of the Flourish Canadian high-risk bipolar offspring cohort study. Offspring were clinically assessed annually by a psychiatrist using semi-structured interviews and completed a measure of coping strategies and self-esteem...
March 1, 2018: Australian and New Zealand Journal of Psychiatry
https://www.readbyqxmd.com/read/29506182/consecutive-operative-procedures-in-patients-with-marfan-syndrome-up-to-28-years-after-initial-aortic-root-surgery
#11
Nazan Puluca, Melchior Burri, Julie Cleuziou, Markus Krane, Rüdiger Lange
OBJECTIVES: Most patients (75%) with Marfan syndrome present with aortic root dilatation that may require surgical intervention. However, associated cardiovascular disorders are not limited to the aortic root. These patients frequently require consecutive operations on the remaining thoracic aorta or the heart valves. Our intent was to characterize the spectrum of such procedures. METHODS: Data from all patients with Marfan syndrome undergoing aortic root surgery at our centre between 1988 and 2016 were analysed retrospectively...
February 28, 2018: European Journal of Cardio-thoracic Surgery
https://www.readbyqxmd.com/read/29499516/redo-surgery-for-extensive-chronic-type-a-dissecting-aneurysm-following-a-bentall-operation
#12
Keisuke Miyake, Toshihiro Funatsu, Haruhiko Kondoh, Kazuhiro Taniguchi
INTRODUCTION: Despite the technical improvements, redo surgery on the aortic root and arch is still associated with high morbidity and mortality due to the trauma of repeat open-heart surgery and technical complexity. We present the case of extended chronic type A dissecting aneurysm that developed after a Bentall operation, which was successfully treated by applying a modified long elephant trunk technique and surgical aortic fenestration. CASE PRESENTATION: A 77-year-old man, who had previously undergone a Bentall procedure and an abdominal surgery, developed a type A aortic dissection...
2018: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/29485956/proximal-aortic-surgery-upper-j-or-conventional-sternotomy
#13
İsmail Oral Hastaoglu, Hamdi Tokoz, Ayca Ozgen, Fuat Bilgen
BACKGROUND: While minimally invasive procedures are being used in cardiac surgery, experience with minimally invasive proximal aortic surgery has been limited to certain centers. METHODS: Between January 2010 and March 2015, 54 patients with an upper "J" hemi-sternotomy and 75 patients with a conventional sternotomy due to proximal aortic pathology were included in this study. Forty-five patients from the "J" hemi-sternotomy group were matched with 45 patients from the conventional sternotomy group with respect to age, sex, ejection fraction, diabetes, hypertension, smoking history and operative type...
January 5, 2018: Heart Surgery Forum
https://www.readbyqxmd.com/read/29483479/-future-aspects-of-bio-bentall-procedure
#14
Masato Mutsuga, Akihiko Usui
The Bentall procedures using biological valved conduit is expanding owing to the increasing incidence of aortic valve disease in the aging population and usage for young generation. The long-term durability of the biological valve including the risks of structural valve deterioration(SVD) is the major concern of the bio-Bentall procedure. Bio-Bentall in our hospital are reviewed and literature review are added. Our surgical results of long-term survival in bio-Bentall patients is acceptable compare to other study and freedom from SVD and reoperation is better than other results...
January 2018: Kyobu Geka. the Japanese Journal of Thoracic Surgery
https://www.readbyqxmd.com/read/29483478/-surgical-outcomes-for-aortic-root-repair-in-patients-undergoing-type-a-acute-aortic-dissection
#15
Masahiro Osumi, Mitsuru Fujii, Yuta Sukehiro, Noritsugu Morishige, Hiroyuki Ito
We evaluated retrospectively 11 consecutive patients who underwent emergent aortic root operations for acute aortic dissection from April 2012 to March 2017. We underwent Bentall operation in 6 patients and Florida Sleeve repair in 3 patients and aortic root replacement with a Freestyle stentless porcine valve in 2 patients. The 30-day mortality of emergent aortic root operations was 9.1%(1 of 11), and the hospital mortality was 18.2%(2 of 11). The Overall survival at 5 years was 90.0%. In conclusion, the aortic root repair can be performed safely in acute aortic dissection...
January 2018: Kyobu Geka. the Japanese Journal of Thoracic Surgery
https://www.readbyqxmd.com/read/29483475/-surgical-results-of-aortic-root-replacement-technical-modification-and-geometric-analysis-of-aortic-root-after-aortic-valve-sparing-procedure
#16
Tetsuro Uchida, Azumi Hamasaki, Yoshinori Kuroda, Masahiro Mizumoto, Atsushi Yamashita, Jun Hayashi, Shuto Hirooka, Ai Ishizawa, Kentaro Akabane, Mitsuaki Sadahiro
BACKGROUND: The Bentall procedure is a reliable treatment of various types of aortic root pathology. Furthermore, the aortic valve-sparing aortic root replacement also has been accepted as an ideal procedure especially in young patients. Recently, we have developed a simple valve-sparing operation focused on standardization and reproducibility. METHODS: From 2011 to 2017, 44 consecutive patients underwent aortic root replacement( Bentall 17, David 27)in our institution...
January 2018: Kyobu Geka. the Japanese Journal of Thoracic Surgery
https://www.readbyqxmd.com/read/29483474/-aortic-root-replacement-for-patients-with-aortic-root-aneurysms-clinical-outcomes-compared-among-different-types-of-abnormality-and-operative-procedures
#17
Taira Yamamoto, Daisuke Endo, Kan Kajimoto, Akie Shimada, Shizuyuki Dohi, Kenji Kuwaki, Hiroaki Hata, Atsushi Amano
Aortic root operations are established procedures for patients with aortic root aneurysms, however there is a little insight for comparative long-term outcomes among different types of anatomical abnormalities and procedures. In this study, we sought to compare the results of patients with aortic abnormalities undergoing different procedures. From January 2008 to March 2017, a total of 105 patients without aortic dissection were performed the elective aortic root surgery. Patients with bicuspid aortic valve had enlarged annulus, and those with Marfan syndrome had enlarged Valsalva without enlarged annulus...
January 2018: Kyobu Geka. the Japanese Journal of Thoracic Surgery
https://www.readbyqxmd.com/read/29482439/chronic-exposure-to-traffic-related-air-pollution-and-cancer-incidence-among-10-000-patients-undergoing-percutaneous-coronary-interventions-a-historical-prospective-study
#18
Gali Cohen, Ilan Levy, Yuval, Jeremy D Kark, Noam Levin, Guy Witberg, Zaza Iakobishvili, Tamir Bental, David M Broday, David M Steinberg, Ran Kornowski, Yariv Gerber
Background Exposure to traffic-related air pollution (TRAP) is considered to have a carcinogenic effect. The authors previously reported a nonsignificant association between TRAP and cancer risk in a relatively small cohort of myocardial infarction survivors. This study assessed whether TRAP exposure is associated with subsequent cancer in a large cohort of coronary patients. Methods & results Consecutive patients undergoing percutaneous coronary interventions in a major medical centre in central Israel from 2004 to 2014 were followed for cancer through 2015...
April 2018: European Journal of Preventive Cardiology
https://www.readbyqxmd.com/read/29455828/late-disruption-of-valved-graft-at-nonanastomotic-site-after-bentall-operation
#19
Hunbo Shim, Wook Sung Kim, Pyo Won Park, Kiick Sung
No abstract text is available yet for this article.
March 2018: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/29436883/academic-and-non-academic-predictors-of-student-psychological-distress-the-role-of-social-identity-and-loneliness
#20
Jason C McIntyre, Joanne Worsley, Rhiannon Corcoran, Paula Harrison Woods, Richard P Bentall
BACKGROUND: University students experience high rates of stress and mental illness; however, few studies have comprehensively examined the impact of academic and non-academic stressors on student mental health. Similarly, there has been little focus on the role of social groups in protecting against mental distress in this young adult group. AIM: To identify the key social determinants of mental health symptoms in a student population. METHODS: Using an online survey, we administered measures of social connectedness and mental health symptoms alongside academic and non-academic stressors to a large sample of UK university students...
February 13, 2018: Journal of Mental Health
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