ArticleJournal of cardiothoracic surgery2021
Clinical analysis of redo aortic root replacement after cardiac surgery: a retrospective study.
Article in Journal of cardiothoracic surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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5 citing papers in PubMed, 8 citations in OpenAlex.
- Hybrid transcatheter aortic valve replacement for mechanical valve dysfunction in a patient with Marfan syndrome and previous Bentall procedure: A novel approach.JTCVS techniques · 2025Article
- Long-Term Outcomes and Risk Factors of Mortality After Reoperation on the Aortic Root: A Single-Center 20-Year Experience.Journal of clinical medicine · 2025Article
- Aortic Valve Replacement with Annular Patch Reconstruction for Prosthetic Valve Endocarditis after the Bentall Procedure: A Case Series.Surgical case reports · 2025Article
- Reoperative aortic root surgery: single-center long-term outcomes and literature review.Journal of thoracic disease · 2024Review
- Approach to aortic root enlargement in a patient with a previous Bentall procedure: A case report and technical description.JTCVS techniques · 2023Article
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Authors and funding
2 authors at 2 institutions in 1 country.
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Abstract
objectivesTo explore the etiology, previous cardiac procedure methods and outcomes of redo aortic root replacement after cardiac surgery.
methodsA retrospective analysis of 41 patients who underwent aortic root replacement surgery in our hospital from February 2010 to February 2020 who underwent at least one cardiac surgery in the past, including 27 males and 14 females, with an average age of 49.5 ± 10.2 years old. Indications for reoperation include: aortic sinus dilation and ascending aortic aneurysm in 20 cases (48.8%), recurrent aortic dissection in 7 cases (17.1%), pseudoaneurysm of aortic root in 4 cases (9.8%), prosthetic valve endocarditis in 5 cases (12.2%) and paravalvular leakage in 5 cases (12.2%). According to whether the previous procedure involved aortic root surgery, they were divided into 2 groups, namely aortic root surgery-involved (ARS) group and non-aortic root surgery-involved (NRS) group. After the patients were discharged from hospitals, follow-ups were carried out through outpatient clinic or telephone for 5 years. Kaplan-Meier was used for survival analysis.
resultsAll patients underwent Bentall procedure with a median sternum incision. Six patients (14.6%) died during the postoperative hospitalization and 3 patients (8.6%) died during the follow-up. The 1-year, 3-year, and 5-year survival in ARS group were 92.6, 92.6, and 92.6%, respectively; the 1-year, 3-year, and 5-year survival in NRS group were 100, 85.7, and 85.7%, respectively. There was no statistical difference between the two groups in the cause of redo aortic root replacement, procedure time, postoperative complications, postoperative hospital stay, hospital mortality, and 5-year cumulative survival (p > 0.05).
conclusionsRedo aortic root replacement is difficult and high risk. Bentall procedure is still a reliable surgical option for redo aortic root replacement, with good short- and mid-term results. The prognosis of redo aortic root replacement is not necessarily related to the etiology of patient's surgery and the methods of previous cardiac procedure.
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