3607 The Bentall operation. Determinants of early and late death

This report concerns a 73-year-old woman who presented with asymptomatic aortic root an-eurysm with severe aortic regurgitation. The purpose of this article is to present our first successful case for emergency aortic root replacement (Bentall operation) that involves annular implantation of a pericardial valved conduit (Bioconduit TM, Biointegral Surgical, Inc., Ontario, Canada) and to discuss some essential technical clue issues related to this approach.

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AB0460 Causes of Early and Late Death of Patients with Systemic Lupus Erythematosus over A 10-Year Period:

Annals of the Rheumatic Diseases ◽

10.1136/annrheumdis-2016-eular.3745 ◽

2016 ◽

Vol 75 (Suppl 2) ◽

pp. 1063.3-1064

Author(s):

I. Padjen ◽

M. Erceg ◽

M. Cerovec ◽

M. Mayer ◽

R. Stevanović ◽

...

Keyword(s):

Systemic Lupus Erythematosus ◽

Lupus Erythematosus ◽

Systemic Lupus ◽

Late Death

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Alternative Uses of the Ozaki Technique: Aortic Valved Conduit in a Bentall Operation and Right Ventricle-to-Pulmonary Artery Conduit

World Journal for Pediatric and Congenital Heart Surgery ◽

10.1177/2150135121995461 ◽

2021 ◽

Vol 12 (3) ◽

pp. 406-410

Author(s):

Vijayakumar Raju ◽

Chandrasekar Padmanabhan ◽

Christopher W. Baird

Keyword(s):

Pulmonary Artery ◽

Right Ventricle ◽

Bentall Operation ◽

Low Resource ◽

Resource Setting ◽

Low Resource Setting ◽

Valved Conduit ◽

Artery Conduit

The modified Ozaki technique within a conduit is reproducible and is an alternative to the use of homografts and commercially available conduits which may have special appeal in a low resource setting.

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Bentall and redo-Konno Operation for an Adult With Aortic Paraprosthetic Leak and Root Aneurysm

World Journal for Pediatric and Congenital Heart Surgery ◽

10.1177/2150135120951565 ◽

2021 ◽

Vol 12 (1) ◽

pp. 142-144

Author(s):

Takeshi Shinkawa ◽

Yuki Nakayama ◽

Tomohiro Nishinaka ◽

Hiroshi Niinami

Keyword(s):

Heart Failure ◽

Right Ventricular ◽

Hemolytic Anemia ◽

Aortic Root ◽

Mechanical Valve ◽

Bentall Operation ◽

Surgical History ◽

History Of ◽

Organized Thrombus ◽

Konno Operation

We report a case of Bentall and redo-Konno operation. A 39-year-old male with surgical history of Konno operation presented with hemolytic anemia and heart failure. Further evaluations revealed aortic paraprosthetic leak with moderate regurgitation, moderate biventricular outflow tract obstruction, and aortic root aneurysm. During the operation, the old Konno septoplasty patch with organized thrombus and the severely calcified right ventricular patch were replaced, and the aortic root was replaced with a larger mechanical valve in a Valsalva graft. Postoperative images showed appropriately reconstructed biventricular outflow tracts. The Bentall operation with redo-Konno was an excellent option in this situation.

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Leukotoxin, a linoleate epoxide: Its implication in the late death of patients with extensive burns

Molecular and Cellular Biochemistry ◽

10.1007/bf01081737 ◽

1994 ◽

Vol 139 (2) ◽

pp. 141-148 ◽

Cited By ~ 58

Author(s):

Kazuhiro Kosaka ◽

Kohji Suzuki ◽

Mika Hayakawa ◽

Satoru Sugiyama ◽

Takayuki Ozawa

Keyword(s):

Late Death ◽

Extensive Burns

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Postoperative tracheal compression requiring transposition of the brachiocephalic artery after Bentall operation combined with total arch replacement in a patient with Loeys-Dietz syndrome

Journal of Cardiothoracic and Vascular Anesthesia ◽

10.1053/j.jvca.2021.07.022 ◽

2021 ◽

Author(s):

Tsukamoto Marumi ◽

Kondo Takashi ◽

Miyoshi Hirotsugu ◽

Toyota Yukari ◽

Yokomi Hiroshi ◽

...

Keyword(s):

Total Arch Replacement ◽

Brachiocephalic Artery ◽

Bentall Operation ◽

Tracheal Compression

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Survival After Reconstructive Surgery for Hypoplastic Left Heart Syndrome

Circulation ◽

10.1161/circ.102.suppl_3.iii-136 ◽

2000 ◽

Vol 102 (suppl_3) ◽

Cited By ~ 4

Author(s):

William T. Mahle ◽

Thomas L. Spray ◽

Gil Wernovsky ◽

J. William Gaynor ◽

Bernard J. Clark

Keyword(s):

Hypoplastic Left Heart Syndrome ◽

Reconstructive Surgery ◽

Fontan Procedure ◽

Stage I ◽

Left Heart ◽

Hypoplastic Left Heart ◽

Term Survival ◽

Late Death ◽

Entire Cohort ◽

Left Heart Syndrome

Background —There are limited data regarding the long-term survival of patients who have undergone reconstructive surgery for hypoplastic left heart syndrome (HLHS). We reviewed the 15-year experience at our institution to examine survival in the context of continued improvements in early operative results. Methods and Results —Between 1984 and 1999, 840 patients underwent stage I surgery for HLHS. From review of medical records and direct patient contact, survival status was determined. The 1-, 2-, 5-, 10-, and 15-year survival for the entire cohort was 51%, 43%, 40%, 39%, and 39%, respectively. Late death occurred in 14 of the 291 patients discharged to home after the Fontan procedure, although only 1 patient has died beyond 5 years of age. Heart transplantation after stage I reconstruction was performed in 5 patients. Later era of stage I surgery was associated with significantly improved survival ( P <0.001). Three-year survival for patients undergoing stage I reconstruction from 1995 to 1998 was 66% versus 28% for those patients undergoing surgery from 1984 to 1988. Age >14 days at stage I and weight <2.5 kg at stage I were also associated with higher mortality ( P =0.004 and P =0.01, respectively). Other variables, including anatomic subtype, heterotaxia, and age at subsequent staging procedures, were not associated with survival. Conclusions —Over the 15-year course of this study, early- and intermediate-term survival for patients with HLHS undergoing staged palliation increased significantly. Late death and the need for cardiac transplantation were uncommon.

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Neutrophil-to-lymphocyte count ratio in predicting prognosis of septic shock patients

QJM ◽

10.1093/qjmed/hcab086.080 ◽

2021 ◽

Vol 114 (Supplement_1) ◽

Author(s):

Hoda Omar Mahmoud ◽

Niven Gerges Fahmy ◽

Mona Ahmed Mohamed Abdelmotaleb Ammar ◽

Mostafa Mansour Mohamed Elsaid ELryany

Keyword(s):

Septic Shock ◽

Intensive Care ◽

Lymphocyte Count ◽

Late Mortality ◽

Late Death ◽

Tertiary Referral Center ◽

Risk Of Death ◽

Count Ratio ◽

Significant Difference ◽

Common Causes

Abstract Background Septic shock is one of the most common causes of admission to the intensive care unit in the world and one of the most common causes of death among intensive care patients. Since the definition of sepsis and septic shock and many studies have been designed to understand everything about sepsis regarding mechanism, pathophysiology, complications, diagnosis, management and all other aspects. Objective To find the association between neutrophil to lymphocyte count ratio and the mortality from septic shock patients. The work aims also to determine if this ratio can be used as a prognostic marker of septic shock patients and to compare this ratio with other sepsis markers as C-reactive protein (CRP) and procalcitonin. Patients and Methods This study was conducted prospectively in critical care unit in Ain Shams Hospital, a university-affiliated, tertiary referral center in Cairo, Egypt. Study subjects included 125 patients between January 2018 to January 2019. The ethics committee of our institution approved the study protocol, and written informed consent was obtained from each patient’s family. Results In our study, the neutrophils count was significantly increased in survived patients compared with early and late mortality patients in day 1 while lymphocytes count was lower in survived patient than early and late mortality patients and the NLCR in our study was higher in survived patients than early and late mortality patients. In day 4, our results revealed significant increase in neutrophils count in patients of late mortality compared with its count in survived patients, while lymphocytes didn't show any significant difference compared with its count in survived patients with significant increase in NLCR in patients of late mortality compared with those of survived patients in day 4. Both CRP and procalcitonin are increased in patients of early and late mortality groups compared with its value in survived patients in day 1 and 4. Conclusion This study demonstrates a real relationship between the NLCR and the risk of death in septic shock patients. Septic shock patients at risk of early death presented a low NLCR at admission, although late death was associated with an increased NLCR during the first 5 days. Early and late death should be distinguished because they may involve different underlying mechanisms, and the NLCR might be considered as a discriminant indicator of early or late death. In addition, our findings provide more insight into biology. The circulating neutrophil and lymphocyte trends observed in this study offer an interesting mechanistic viewpoint. We observed that circulating lymphocytes and the NLCR behave in opposite ways in early- and late death patients, supporting the hypothesis that divergent mechanisms could be involved in these two groups.

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Modified Bentall Operation and the Double Sewing Ring Technique -2 case reports-

The Korean Journal of Thoracic and Cardiovascular Surgery ◽

10.5090/kjtcs.2010.43.2.156 ◽

2010 ◽

Vol 43 (2) ◽

pp. 156-160

Author(s):

Tae Yun Kim ◽

Jung-Moon Lee ◽

Jong-Bum Choi ◽

Min Ho Kim ◽

Jung-Ku Jo

Keyword(s):

Case Reports ◽

Bentall Operation

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