European Journal of Cardiovascular Medicine

Aim and Objectives: To study perioperative morbidity and mortality in patients who underwent Modified Bentall’s procedure. Materials and Methods: This is a retrospective observational study of 3 years from December 2018. Sample size of 25 members who underwent Modified Bentall’s procedure, who fulfilling inclusion criteria were taken for study and analyzed. The age, Gender, Indications of surgery, modification of operative steps viz., Cannulation techniques, cerebro-protective techniques, coronary buttons, post-op complications, post- op ICU stay and their impact on the outcomes i.e., morbidity and mortality were assessed.  Results: No significant association between sex , comorbidities, risk factors, presenting symptoms , duration, etiology , diagnosis, postoperative bleeding and mortality . there is significant association was noted between number of blood transfusions , inotropic support and mortality. Of 25 cases in the current study, 10 cases (40%) underwent surgery on an emergency basis and 15 patients (60%) were operated on electively. Mortality was noted in 05 cases (20%) of which all 05 cases (20%) underwent emergency modified Bentall are. a significant association was noted between the type of surgery and mortality. Mortality was noted in 05 cases (20%) of 25 cases in the present study. The commonest cause of death was low cardiac output seen in 05 cases, ARF on CKD requiring dialysis seen in 3 cases. Postoperative complications were noted in 04 cases (16%) cases in the current study. Postoperatively 04 patients (16%) had renal dysfunction, 03 patients (12%) had hepatic and renal dysfunction and poor neurological status was seen in 02 patients (08%). No patient developed infection/sepsis.  Conclusions: Immediate presentation following onset of symptoms and operating on emergency basis with appropriate cerebro protective techniques and meticulous haemostasis with sound surgical technique and usage of local haemostatic agents are the key factors in significantly reducing the mortality and morbidity following modified Bentall’s procedure.