J 2024

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 et. al.

Basic information

Original name

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

Authors

GOFUS, Jan (203 Czech Republic), Jiří JARKOVSKÝ (203 Czech Republic, belonging to the institution), Anna KLECHOVA (203 Czech Republic), Jaroslav HLUBOCKY (203 Czech Republic), Stepan CERNY (203 Czech Republic), Martin URBAN (203 Czech Republic), Pavel ZACEK (203 Czech Republic) and Jan VOJACEK (203 Czech Republic)

Edition

JOURNAL OF CARDIAC SURGERY, LONDON, WILEY-HINDAWI, 2024, 0886-0440

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30201 Cardiac and Cardiovascular systems

Country of publisher

United Kingdom of Great Britain and Northern Ireland

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

Impact factor

Impact factor: 1.600 in 2022

Organization unit

Faculty of Medicine

DOI

UT WoS

001259412600001

Keywords in English

Yacoub Procedure; Bentall Procedure

Tags

Tags

International impact, Reviewed
Změněno: 5/11/2024 14:56, Mgr. Tereza Miškechová

Abstract

V originále

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.