Mini-Bentall procedure for severe aortic regurgitation and root dilation: a case report of rapid recovery, and excellent outcomes
Main Article Content
Keywords
mini-bentall procedure, minimally invasive, aortic, surgery, replacement
Abstract
Introduction: The Bentall procedure has long been regarded as the gold standard for addressing combined aortic valve and root pathologies. With advancements in minimally invasive cardiac surgery, the mini-Bentall procedure has emerged as a promising alternative to the traditional approach, offering reduced surgical trauma, shorter hospital stays, and improved postoperative recovery.
Case illustration: This report presents the case of a 66-year-old male with severe aortic regurgitation and aortic root dilatation who underwent a successful mini-Bentall procedure. Preoperative evaluation revealed significant left ventricular dysfunction with an ejection fraction of 30.8%, severe aortic regurgitation, and dilatation of the aortic root. The surgery was performed via a mini-sternotomy approach, with careful resection of the aortic root and valve and replacement with a composite graft. Postoperative recovery was uneventful, with minimal bleeding, no mechanical ventilation required, and a significantly reduced length of hospital stay.
Conclusion: This case highlights the feasibility and benefits of the mini-Bentall procedure as a less invasive yet effective approach to complex aortic surgery, demonstrating excellent outcomes and rapid recovery.
References
2. Berretta P, Di Marco L, Pacini D, Cefarelli M, Alfonsi J, Castrovinci S, et al. Reoperations versus primary operation on the aortic root: a propensity score analysis. Eur J Cardio-Thoracic Surg. 2016;ezw250. Available from: http://dx.doi.org/10.1093/ejcts/ezw250
3. Nguyen TC, Terwelp MD, Thourani VH, Zhao Y, Ganim N, Hoffmann C, et al. Clinical trends in surgical, minimally invasive and transcatheter aortic valve replacement†. Eur J Cardio-Thoracic Surg. 2017;51(6):1086–92. Available from: http://dx.doi.org/10.1093/ejcts/ezx008
4. Mikus E, Micari A, Calvi S, Salomone M, Panzavolta M, Paris M, et al. Mini-Bentall: An Interesting Approach for Selected Patients. Innov Technol Tech Cardiothorac Vasc Surg. 2017;12(1):41–5. Available from: http://dx.doi.org/10.1097/imi.0000000000000337
5. Phan K, Xie A, Di Eusanio M, Yan TD. A Meta-Analysis of Minimally Invasive Versus Conventional Sternotomy for Aortic Valve Replacement. Ann Thorac Surg. 2014;98(4):1499–511. Available from: http://dx.doi.org/10.1016/j.athoracsur.2014.05.060
6. Levack MM, Aftab M, Roselli EE, Johnston DR, Soltesz EG, Gillinov AM, et al. Outcomes of a Less-Invasive Approach for Proximal Aortic Operations. Ann Thorac Surg. 2017;103(2):533–40. Available from: http://dx.doi.org/10.1016/j.athoracsur.2016.06.008
7. Shah VN, Kilcoyne MF, Buckley M, Sicouri S, Plestis KA. The mini-Bentall approach: Comparison with full sternotomy. JTCVS Tech. 2021;7:59–66. Available from: https://pubmed.ncbi.nlm.nih.gov/34318207
8. Torky MA, Arafat AA, Fawzy HF, Taha AM, Wahby EA, Herijgers P. J-ministernotomy for aortic valve replacement: a retrospective cohort study. Cardiothorac Surg. 2021;29(1). Available from: http://dx.doi.org/10.1186/s43057-021-00050-7
9. Wachter K, Franke UFW, Yadav R, Nagib R, Ursulescu A, Ahad S, et al. Feasibility and clinical outcome after minimally invasive valve-sparing aortic root replacement. Interact Cardiovasc Thorac Surg. 2016;ivw362. Available from: http://dx.doi.org/10.1093/icvts/ivw362
Article Sidebar
Article Details
This work is licensed under a Creative Commons Attribution 4.0 International License.
I Komang Adhi Parama Harta, Cardiothoracic and Vascular Surgery Division, Department of Surgery, Faculty of Medicine, Udayana University/Prof. Dr. I.G.N.G. Ngoerah General Hospital, Denpasar, Bali, Indonesia
Cardiothoracic and Vascular Surgery Division, Department of Surgery, Faculty of Medicine, Udayana University/Prof. Dr. I.G.N.G. Ngoerah General Hospital, Denpasar, Bali, Indonesia
I Putu Sakamekya Wicakasana Sujaya, Cardiothoracic and Vascular Surgery Division, Department of Surgery, Faculty of Medicine, Udayana University/Prof. Dr. I.G.N.G. Ngoerah General Hospital, Denpasar, Bali, Indonesia
Cardiothoracic and Vascular Surgery Division, Department of Surgery, Faculty of Medicine, Udayana University/Prof. Dr. I.G.N.G. Ngoerah General Hospital, Denpasar, Bali, Indonesia