Safety and Efficacy of the Minimally Invasive Bentall Procedure Via a Small Right Intercostal Incision in Patients With Aortic Root Lesions

First Affiliated Hospital Xi'an Jiaotong University350 enrolled

Overview

This study intends to include patients who had aortic root lesions and were treated with Bentall surgery from January 2019 to July 2023 in the First Affiliated Hospital of Xi'an Jiaotong University. The patients will be divided into the minimally invasive group and control group according to the surgical methods: the former underwent minimally invasive Bentall surgery through a small right intercostal incision; the latter underwent traditional Bentall surgery through a median sternal incision. By comparing the clinical data of patients in two groups, we will investigate the effect and safety of minimally invasive Bentall surgery.

Study Type

OBSERVATIONAL

Enrollment

350

Conditions

Aortic Dissection Aortic Root Aneurysm Minimally Invasive Surgical Procedures

Interventions

Minimally invasive Bentall procedure

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: \- Patients who were diagnosed with aortic root lesions and treated with the Bentall procedure at the First Affiliated Hospital of Xi'an Jiaotong University from January 2019 to July 2023 will be included in this study. Exclusion Criteria: * Previous sternotomy or aortic root surgery; * Combined coronary artery disease requiring simultaneous coronary revascularization; * Combined aortic arch lesions requiring simultaneous aortic arch surgery; * Preoperative comorbidities with severe single or multiple organ failure; * Incomplete clinical information;

Outcomes

Primary Outcomes

30-day mortality rate

It focuses on the mortality rate of all patients after the operation after 30 days. The data will be obtained from medical records.

Time frame: 1-month after the operation.

Secondary Outcomes

Mortality rate during hospitalization

It focuses on the mortality rate of all patients after the operation during hospitalization. The data will be obtained from medical records.

Time frame: About 10 days after the operation.

Blood transfusion volume during hospitalization

It focuses on the blood transfusion volumes of all patients after the operation during hospitalization. The data will be obtained from medical records.

Time frame: About 10 days after the operation.

Postoperative ICU length of stay

It focuses on the ICU length of stay of all patients after the operation. The data will be obtained from medical records.

Time frame: About 3 days after the operation.

Postoperative ventilation time

It focuses on the postoperative ventilation time of all patients after the operation. The data will be obtained from medical records.

Time frame: About 1 day after the operation.