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May 1, 2001European Journal of Cardio-Thoracic SurgeryOpen Access

The 5-year event-free survival was 88+/-7% in the Bentall group and 82+/-8% in the remodelling group (P=0.58).

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Why the study?

Does aortic root remodelling improve event-free survival compared to the Bentall operation in patients with aortic expansive aneurysm and concomitant aortic valve disease?

Population

69 consecutive patients with aortic expansive aneurysm and concomitant aortic valve disease

Comparison

Aortic root remodelling vs Bentall operation

Design

Cohort

Follow-up

up to 68 months

Authors

CBCarlo BassanoGMGiovanni Maria De MatteisPNPaolo Nardi

Discussion

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Member takes

Overview

Similar 5-year event-free survival; leaves open whether remodelling offers durable Bentall alternative in selected aortic aneurysm patients.

Structured PICO

Does aortic root remodelling improve event-free survival compared to the Bentall operation in patients with aortic expansive aneurysm and concomitant aortic valve disease?

P
Population
69 consecutive patients with aortic expansive aneurysm and concomitant aortic valve disease (5 with Marfan syndrome)
I
Intervention
Aortic root remodelling
C
Comparator
Bentall operation
O
Outcome
Event-free survival at 5 yearshard clinical

Mid-term follow-up showed no statistically significant difference in event-free survival between aortic root remodelling and the Bentall operation, supporting the use of root remodelling in carefully selected patients.

Cite This Study

Bassano et al. (2001) studied this question.

synapsesocial.com/papers/6a768c8e656dd99464ec15bdhttps://doi.org/10.1016/s1010-7940(01)00660-1
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Aortic root surgery in Marfan syndrome: Bentall procedure with the composite mechanical valved conduit versus aortic valve reimplantation with Valsalva graft2010 · 15 citations
  2. 2Mechanical Bentall versus reimplantation for aortic root replacement: A prospective cohort study2026
  3. 3Surgical Management of Aortic Root Dilatation with Advanced Aortic Regurgitation: Bentall Operation versus Valve-sparing Procedure2012 · 22 citations
  4. 4The mid-term outcomes of aortic-root repair is not inferior to Bentall procedure in acute type-A aortic dissection2023 · 6 citations
  5. 5Aortic root operation for aortic aneurysm: Valve replacement versus valve sparing procedures2018 · 1 citations