Key result
Concomitant cardiac surgery during Bentall procedures is linked to ~3.4-fold higher in-hospital mortality versus isolated surgery.
Why the study?
The influence of concomitant cardiac surgery on mortality and morbidity risk after Bentall procedure was unclear.
Does concomitant cardiac surgery increase mortality and morbidity in patients undergoing the Bentall procedure compared to isolated Bentall surgery?
Cohort (n=207)
No
Does concomitant cardiac surgery increase mortality and morbidity in patients undergoing the Bentall procedure compared to isolated Bentall surgery?
Urges caution with concomitant procedures in Bentall candidates; leaves open whether staged approaches improve outcomes in prospective trials.
The aim of this study was to assess the influences of concomitant cardiac surgery on the risk for mortality and morbidity after Bentall procedure. This retrospective study was a review of patients who underwent Bentall procedure from a single center experience over a 7-year period. Demographic features, surgical data, postoperative period and outcomes were analyzed. Patients with isolated Bentall surgery (Group A) were compared and concomitant cardiac surgery with Bentall procedure were compared (Group B).
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Mehmet Ali Yeşiltaş (2021) conducted a cohort in Aortic root aneurysm (n=207). Concomitant cardiac surgery with Bentall procedure vs. Isolated Bentall procedure was evaluated on In-hospital mortality (p=<0.01). Concomitant cardiac surgery during the Bentall procedure was associated with a higher in-hospital mortality rate (9.5% vs 2.8%, p<0.01) compared to the isolated procedure, though overall survival remained acceptable.
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