NEW MODIFICATION OF AORTIC ROOT REPLACEMENT SURGERY
Journal Title: World Journal of Pharmaceutical and Medical Research - Year 2018, Vol 4, Issue 9
Abstract
Background and Objectives: Modified Bentall procedure has become a gold standard in the treatment of combined aortic root and aortic valve diseases. Bleeding is an important predictor of morbidity and mortality after the Bentall operation. Our objective was to evaluate the early outcomes of Modified Button- Bentall procedure with cuff technique for aortic root replacement surgery regarding hemostasis. Methods: A total number of 32 patients who underwent elective Bentall operation from January 2008 to December 2014 were included in the study. In 18 patients (Group I) modified Button-Bentall procedure with formation of cuff was used and in 14 patients (Group II) Modified Button technique without cuff formation was used for aortic root replacement. Data was analyzed using SPSS V16. Chi-square test, Fisher’s Exact test and independent sample t-test was used to analyze Qualitative and Quantitative variables. Results: Three patients in Group II and two patients in group I was in congestive cardiac failure pre- operatively. Out of thirty two patients two patients were having Aortic root dissection one in each group. Total bypass time and cross-clamp time were significantly high in Group I. There was no significant difference regarding duration of inotropic support, ventilation time, ICU stay and hospital stay time in patients of Group I and Group II. But post-op Chest drainage was very high in Group II 1158+451.25 ml versus 488.89+168.27 ml in group I (p-value <0.0001). There was one in hospital death in Group II. Conclusions: Formation of cuff of remnant of aorta during proximal anastomosis results in significant reduction in post-operative bleeding and was better in hospital outcomes.
Authors and Affiliations
Dr. Mubashir Hassan
Keywords
Related Articles
- EP ID EP665647
- DOI -
- Views 172
- Downloads 0
COMPARATIVE HYPOGLYCEMIC AND NEPHROPROTECTIVE EFFECT OF TINOSPORA CORDIFOLIA AND METFORMIN ON ALLOXAN INDUCED DIABETIC MICE
Diabetes mellitus, often simply referred to as diabetes, is a group of metabolic diseases in which a patient has high blood sugar, either because the body does not produce enough insulin, or because cells do not respond...
NEW HPLC TECHNIQUE ADVANCEMENT AND APPROVAL OF CEIPIME – A FOURTH ERA ANTIBIOTIC
A simple and sensitive method was developed for estimation of Cefepime in its bulk and Pharmaceutical formulations and the method is validated according to ICH guidelines for routine practice in the Pharmaceutical indust...
COLOUR DOPPLER EVALUATION OF DEGREE OF STENOSIS AND PLAQUE MORPHOLOGY IN EXTRACRANIAL CAROTID ARTERIES IN PATIENTS OF STROKE
Objectives: The third leading cause of death in the world is Cerebral ischemic stroke. There is a close relationship between cerebral vascular disease and carotid artery stenosis. This study is done to evaluate carotid a...
A STUDY OF PSEUDOCHOLINESTERASE ACTIVITY IN ACUTE MYOCARDIAL INFARCTION: AN OLD STUDY REVISITED
Introduction: Ischaemic Heart Diseases are becoming progressively commoner in the younger persons of third and fourth decade. A massive rise in the levels of SGOT, LDH, CPK, during myocardial infarction suggest large inf...
OIL PULLING: A SUSTAINABLE PROCEDURE FOR MAINTAINING ORAL HYGIENE
Mouth is considered as the mirror of the general health of human body. Oral cavity harbours billions of microorganisms. Some of these contribute to the development or progression of systemic diseases such as cardiovascul...