Longer-Term Outcomes of the Yacoub versus Bentall Procedure in a Nationwide Propensity-Matched Comparison

GOFUS, Jan, Jiří JARKOVSKÝ, Anna KLECHOVA, Jaroslav HLUBOCKY, Stepan CERNY, Martin URBAN, Pavel ZACEK and Jan VOJACEK. Longer-Term Outcomes of the Yacoub versus Bentall Procedure in a Nationwide Propensity-Matched Comparison. JOURNAL OF CARDIAC SURGERY. LONDON: WILEY-HINDAWI, 2024, vol. 2024, p. 1-10. ISSN 0886-0440. Available from: https://dx.doi.org/10.1155/2024/7595067.

Basic information

• Original name: Longer-Term Outcomes of the Yacoub versus Bentall Procedure in a Nationwide Propensity-Matched Comparison
• Authors: GOFUS, Jan, Jiří JARKOVSKÝ, Anna KLECHOVA, Jaroslav HLUBOCKY, Stepan CERNY, Martin URBAN, Pavel ZACEK and Jan VOJACEK.
• Edition: JOURNAL OF CARDIAC SURGERY, LONDON, WILEY-HINDAWI, 2024, 0886-0440.

Other information

• Original language: English
• Type of outcome: Article in a journal
• Country of publisher: United Kingdom of Great Britain and Northern Ireland
• Confidentiality degree: is not subject to a state or trade secret
• WWW: URL
• Impact factor: Impact factor: 1.600 in 2022
• Organization unit: Faculty of Medicine
• Doi: http://dx.doi.org/10.1155/2024/7595067
• UT WoS: 001259412600001
• Tags: 14119612
• Tags: International impact, Reviewed

Abstract

Background. Aortic root replacement with a composite mechanical valve graft (Bentall procedure) has been a recommended strategy in patients with aortic root aneurysm with or without aortic regurgitation. Aortic root remodeling (Yacoub procedure) has emerged as a valve-sparing alternative although there is only scarce multicenter evidence. The aim of our study was to provide nationwide comparison of these two strategies. Methods. This was a retrospective study of data from national registry of cardiac surgery. Using propensity-score matching, we compared all the patients undergoing the Bentall procedure in the Czech Republic between 2010 and 2021 with patients after the Yacoub procedure from four experienced centers. Results. During the study period, 199 patients underwent Yacoub and 526 had Bentall procedure. Of those, 166 pairs were selected and compared. There was no significant difference in perioperative outcomes and in mortality (p=0.96) over the follow-up of 5.7 vs. 6.4 years. The Bentall procedure was associated with a higher risk of major bleeding or thromboembolism (p<0.001), and the Yacoub procedure led to a higher risk of rehospitalizations for valve failure (p=0.01). Conclusions. In a nationwide propensity-matched study, Bentall and Yacoub procedures yield similar longer-term survival. Yacoub offers better freedom from thromboembolism or bleeding at the cost of higher risk of valve failure.