Ho Chi Minh City (VNA) – The Resuscitation and Cardiac Surgery Department of Cho Ray Hospital, Ho Chi Minh City, recently announced that its medical team successfully operated on a patient with an aneurysm of the aortic root and severe aortic regurgitation using the minimally invasive Bentall technique.
On December 23, 2021, patient Đ.VT, 49, a resident of Dak Lak province (Central Highlands), was admitted to Cho Rây Hospital in Ho Chi Minh City in a state of heart failure. at level 2-3 due to long-term aortic regurgitation, accompanied by aortic root aneurysm.
After examining the patient’s condition, surgeons from the Resuscitation and Cardiac Surgery Department of Cho Rây Hospital decided to perform surgery on January 4, 2022.
Physician Nguyên Thai An, head of the department, shared, “Instead of choosing the classical method, the aortic root replacement surgery through the mid-sternal incision invasive surgery, large incisions, easy infection of the sternum… , we opted for a new technique which is minimally invasive surgery through right anterior thoracotomy.We performed aortic root replacement surgery using the Bentall method with valve graft number 27, reinserting two coronary holes. he operation lasted six hours. After this procedure, the patient was in stable condition and was discharged from the hospital after 20 days. At his last follow-up visit three months after surgery, he was in good health and walking normally “.
According to the Cho Ray Cardiovascular Center, Bentall surgery to replace the root of the ascending thoracic aorta and reattach two branches of the coronary artery is performed using three approaches: opening the entire sternum, then semi-opening and right anterior thoracic opening. This is a relatively difficult technique, requiring great skill from the team of surgeons.
Before the major intervention at the Cho Rây hospital, the cardiovascular centers of the country only practiced this surgical method by the total or partial opening of the sternum. This is the first time in Vietnam that this technique has been successfully performed by a minimally invasive approach with the right anterior thoracic opening.
This new medical advance helps patients not to suffer too much pain or lose a lot of blood during surgery, and therefore to shorten post-operative recovery time. – CVN/VNA
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