Analysis of baseline clinical data and etiological factors of root and ascending aortic aneurysms in patients after bentall surgery and david’s valve sparing surgery
DOI:
https://doi.org/10.11603/2414-4533.2023.4.14341Keywords:
ortic aneurysm, David surgery, Bentall surgery, aortic rootAbstract
The aim of the work: to improve the results of surgical treatment of patients with root and ascending aortic aneurysm by analyzing the initial clinical data and etiological factors in patients undergoing David and Bentall procedure.
Materials and Methods. The study included 107 patients who underwent routine and urgent surgical treatment at the Heart Institute of the Ministry of Health of Ukraine from 2015 to 2023.
Patients were divided into two groups depending on the type of surgery: in group A, patients underwent the David procedure, in group B, patients underwent the Bentall operation.
Patients with infective endocarditis at the time of hospitalization, patients with repeated heart surgeries and acute type A aortic dissection, as well as patients who, in addition to major surgeries, underwent a second heart surgery, were excluded from the study.
Results and Discussion. The results of our analysis indicate that the clinical characteristics and etiological factors of the David and Bentall procedures have statistically significant differences. Aneurysms of the root and ascending aorta occur more often in men aged 51–60 years. Arterial hypertension, connective tissue dysplasia, and atherosclerosis are the most common causes of aortic aneurysms. Dysplasia is a more common factor in patients with valve-sparing surgeries. Baseline pulmonary hypertension in the preoperative period is more common in patients with Bentall surgery. Patients with Bentall surgery were more likely to have a bicuspid aortic valve, David’s – tricuspid. Left ventricular volume is statistically greater in patients with Bentall surgery in the preoperative period.
The topic of aneurysms of the root and ascending aorta is not well studied and requires further clarification of the indicators of the intra- and postoperative period, detailed analysis, assessment of complications, survival and comparison of quality of life in the long-term period.
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