Treatment of ascending aorta disease with Bentall-De Bono operation using a mini-invasive approach

Sossio Perrotta, Salvatore Lentini, Mauro Rinaldi, Andrea M. D'Armini, Fabrizio Tancredi, Giuseppe Raffa, Roberto Gaeta, Mario Viganó

Research output: Contribution to journalArticle

Abstract

Background: Use of minimally invasive approaches in cardiac surgery is increasing, obtaining a wide consensus and representing a challenging alternative technique for many surgeons. We report our experience of the treatment of ascending aorta disease using the Bentall-De Bono procedure through a minimally invasive approach. Methods: Between September 1997 and June 2005 at 'Policlinico San Matteo', Pavia, we treated 40 patients affected by ascending aorta disease and aortic valve regurgitation using a Bentall-De Bono procedure through a minimally invasive approach, by means of a reversed T or J ministernotomy. Data were analyzed retrospectively. Thirty patients were men. Short-term and mid-term mortality and peroperative complications were analyzed. Results: None of the patients died during the 30-day postoperative period. The mean ICU and length of stay times were 3.3 ± 8.2 and 9.3 ± 7.2 days, respectively. Six patients (15%) had one or more postoperative complications. One patient (2.5%) underwent early reoperation for bleeding. None underwent a procedure-related reoperation. Mechanical ventilation was longer than 48 h in five patients (12.5%). The mean follow-up was 38.4 ± 31 months. Survival at 1, 3 and 5 years was, respectively, 94.1, 90.6 and 90.6%. At the end of the follow-up, there were 37 survivors. Twenty-seven (73%) patients were in New York Heart Association I, six (16%) were in New York Heart Association II and four (11%) were in New York Heart Association III. Conclusion: Reversed T or J ministernotomy is a feasible and secure alternative to complete sternotomy. The short incision may enhance the outcome and does not affect the survival, offering proper access to the anatomic structures.

Original languageEnglish
Pages (from-to)1016-1022
Number of pages7
JournalJournal of Cardiovascular Medicine
Volume9
Issue number10
DOIs
Publication statusPublished - Oct 2008

Keywords

  • Aneurysm
  • Aortic operation
  • Aortic root
  • Minimally invasive surgery
  • Surgery

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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