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P195. Long-term Outcome in Patients Undergoing Aortic Root Replacement: The Bentall Procedure in Latin-American

Carlos Perez Poster Presenter
El Bosque University
Bogota, Colombia 
Colombia  - Contact Me

Dr. Carlos J. Perez Rivera graduated as a medical doctor from University El Bosque Bogota, Colombia in 2018, receiving a distinguished medal of honor for his thesis project at the School of Medicine. Over the following two years, he pursued a Master's in Clinical Epidemiology at University of Los Andes, focusing on postoperative atrial fibrillation in cardiovascular surgery and clinical trials. He also initiated the direction of the research group in Surgery at the Fundacion Cardioinfantil-IC, overseeing over 40 research projects with a focus on perioperative mortality.

In 2021, Dr. Perez Rivera matched for one of the top general surgery residency program in Bogota, Colombia. Currently, he is a fourth-year surgical resident with a interest in cardiovascular surgery, focusing his projects on aortic surgery.

Dr. Perez Rivera is the author of more than 30 publications in peer-reviewed journals

Thursday, April 25, 2024: 5:38 PM - 7:00 PM
Sheraton Times Square 
Room: Central Park 

Description

Title
Long-term outcome in patients undergoing aortic root replacement: the Bentall Procedure in Latin-American

Objective
In order to assess the early and long-term outcomes of the Bentall procedure in Latin America we compared the outcomes of patients undergoing Bentall procedure with biological vs mechanical valved conduits.
Methods
Between January 2008 and January 2023. 110 aortic root replacement operations were performed. The results were examined by univariate, multivariate and a Kaplan Meier analysis.
Results
Median age 64 ± 4 years, male 88 cases. The mean follow-up was 120 months. Median EuroSCORE II was 6 ± 3. Hospital mortality was 9,1% with 19 (17%) emergency cases. The most frequently found complication resulted in heart rhythm disorders in 33 (27%) patients. The incidence of perioperative neurological complications, respiratory complications, renal failure were 2 (1,8%), 4 (3,6%), ​​6 (5,5%) respectively. With a median of cardiopulmonary bypass (CPB) time 111 minutes, and cross clamp time 94 minutes. All patients were free from MACCE at 5 years post procedure, and 93.8% were the survival rate at 12 years.
Conclusions
In conclusion, the Bentall procedure offers acceptable early and long-term outcomes in Latin American.

Authors
Carlos Perez (1), Javier Maldonado (2), German Molina (2), Andres Motta (3), Alejandra Prada (3)
Institutions
(1) Universidad El Bosque, Bogota, Colombia, (2) Clinica Universitaria Colombia, Bogota, (3) Clinica Universitaria Colombia, Bogota,

Presentation Duration

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