PMID- 27127424
OWN - NLM
STAT- MEDLINE
DCOM- 20170622
LR  - 20181113
IS  - 1526-6702 (Electronic)
IS  - 0730-2347 (Print)
IS  - 0730-2347 (Linking)
VI  - 43
IP  - 2
DP  - 2016 Apr
TI  - Effect of Elective Bentall Procedure on Left Ventricular Systolic Function and 
      Functional Status: Long-Term Follow-Up in 90 patients.
PG  - 114-8
LID - 10.14503/THIJ-14-4127 [doi]
AB  - Because there are so few data on the long-term effects on left ventricular 
      systolic function and functional status in patients who electively undergo 
      Bentall procedures, we established a retrospective study group of 90 consecutive 
      patients. This group consisted of 71 male and 19 female patients (mean age, 54 +/- 
      10 yr) who had undergone the Bentall procedure to correct aortic valve disease 
      and aneurysm of the ascending aorta, from 1997 through 2003 in a single 
      tertiary-care center. We monitored these patients for a mean period of 117 +/- 41 
      months for death, left ventricular ejection fraction and volume indices, and 
      functional capacity as determined by New York Heart Association (NYHA) class. 
      There were no operative deaths. The survival rate was 73.3% during follow-up. 
      There were 10 cardiac and 13 noncardiac deaths, and 1 death of unknown cause. 
      Echocardiography was performed before the index procedure and again after 117 +/- 
      41 months. In surviving patients, statistically significant improvement in left 
      ventricular ejection fraction, in comparison with preoperative values (0.49 +/- 
      0.11 vs 0.41 +/- 0.11; P <0.0001), was noted at follow-up. Similarly, we observed 
      statistically significant reductions in left ventricular end-systolic (39.24 +/- 
      28.7 vs 48.77 +/- 28.62 mL/m(2)) and end-diastolic volumes (54.63 +/- 6.97 vs 59.17 +/- 
      8.92 mL/m(2); both P <0.0001). Most patients (53/66 [80.3%]) progressed from a 
      higher to a lower NYHA class during the follow-up period. The Bentall procedure 
      significantly improved long-term left ventricular systolic function and 
      functional status in surviving patients who underwent operation on a nonemergency 
      basis.
FAU - Djokic, Olivera
AU  - Djokic O
FAU - Otasevic, Petar
AU  - Otasevic P
FAU - Micovic, Slobodan
AU  - Micovic S
FAU - Tomic, Slobodan
AU  - Tomic S
FAU - Milojevic, Predrag
AU  - Milojevic P
FAU - Boskovic, Srdjan
AU  - Boskovic S
FAU - Djukanovic, Bosko
AU  - Djukanovic B
LA  - eng
PT  - Journal Article
DEP - 20160401
PL  - United States
TA  - Tex Heart Inst J
JT  - Texas Heart Institute journal
JID - 8214622
SB  - IM
MH  - Adult
MH  - Aged
MH  - Aortic Aneurysm, Thoracic/complications/diagnosis/*surgery
MH  - Aortic Valve/diagnostic imaging/*surgery
MH  - Echocardiography
MH  - Female
MH  - Follow-Up Studies
MH  - Heart Valve Diseases/complications/diagnosis/*surgery
MH  - Heart Valve Prosthesis Implantation/*methods
MH  - Heart Ventricles/diagnostic imaging/*physiopathology
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Retrospective Studies
MH  - Systole
MH  - Time Factors
MH  - Treatment Outcome
MH  - Vascular Surgical Procedures/*methods
MH  - Ventricular Function, Left/*physiology
PMC - PMC4845576
OTO - NOTNLM
OT  - Aneurysm, dissecting/surgery
OT  - Bentall procedure
OT  - aortic diseases/surgery
OT  - blood vessel prosthesis implantation
OT  - functional status
OT  - left ventricular function
OT  - retrospective studies
OT  - treatment outcome
OT  - ventricular function
EDAT- 2016/04/30 06:00
MHDA- 2017/06/24 06:00
PMCR- 2016/04/01
CRDT- 2016/04/30 06:00
PHST- 2016/04/30 06:00 [entrez]
PHST- 2016/04/30 06:00 [pubmed]
PHST- 2017/06/24 06:00 [medline]
PHST- 2016/04/01 00:00 [pmc-release]
AID - 10.14503/THIJ-14-4127 [doi]
PST - epublish
SO  - Tex Heart Inst J. 2016 Apr 1;43(2):114-8. doi: 10.14503/THIJ-14-4127. eCollection 
      2016 Apr.