{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T05:05:52Z","timestamp":1777611952802,"version":"3.51.4"},"reference-count":26,"publisher":"MDPI AG","issue":"23","license":[{"start":{"date-parts":[[2023,11,26]],"date-time":"2023-11-26T00:00:00Z","timestamp":1700956800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>(1) Objective: Twenty years\u2019 experience of Bentall\u2013De Bono operations by one surgeon. (2) Methods: From January 2003 to September 2023, four-hundred-and-two patients aged 65.9 \u00b1 15 years underwent a Bentall operation. The EuroScore-2 was 5.0% \u00b1 3.8%. Associated procedures were performed on 113 patients (28.1%). Results: Operative mortality was 1.2% (n = 5), in particular 0.69% (n = 2\/289) for isolated Bentall operation, 2.65% (n = 3\/113) for combined procedures (p &lt; 0.05). Postoperative acute heart failure occurred in 38 patients (9.45%). Preoperative pulmonary hypertension (44 \u00b1 14 vs. 33 \u00b1 7 mmHg), cardiopulmonary bypass time (169 \u00b1 61 min. vs. 124 \u00b1 42 min.) and aortic cross-clamp time (133 \u00b1 45 min. vs. 107 \u00b1 34 min.) have been recognized as independent predictors of mortality and cardiac complications (p &lt; 0.05). Conclusions: In our experience, the Bentall operation was associated with low operative mortality and low rate of complications. For this reason, in agreement with the patients, we have modified surgical indication for ascending aortic aneurysms and now we think that it is time to change surgical guidelines.<\/jats:p>","DOI":"10.3390\/jcm12237330","type":"journal-article","created":{"date-parts":[[2023,11,27]],"date-time":"2023-11-27T03:48:17Z","timestamp":1701056897000},"page":"7330","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["How Refined Surgical Technical Solutions Can Make Bentall Operation a Low-Risk Procedure: 20-Year Personal Experience at the \u201cRoot\u201d of the Aortic Diseases\u2014It Is Time to Change Surgical Guidelines"],"prefix":"10.3390","volume":"12","author":[{"given":"Giovanni","family":"Ruvolo","sequence":"first","affiliation":[{"name":"Department of Cardiac Surgery, Tor Vergata University of Rome, 00133 Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Claudia","family":"Altieri","sequence":"additional","affiliation":[{"name":"Cardiology Unit of the Cardiac Surgery Division, Tor Vergata University of Rome, 00133 Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3328-134X","authenticated-orcid":false,"given":"Carlo","family":"Bassano","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Tor Vergata University of Rome, 00133 Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1684-4561","authenticated-orcid":false,"given":"Dario","family":"Buioni","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Tor Vergata University of Rome, 00133 Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4005-3110","authenticated-orcid":false,"given":"Paolo","family":"Nardi","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Tor Vergata University of Rome, 00133 Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6488-1965","authenticated-orcid":false,"given":"Calogera","family":"Pisano","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Tor Vergata University of Rome, 00133 Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2023,11,26]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"338","DOI":"10.1136\/thx.23.4.338","article-title":"A technique for complete replacement of the ascending aorta","volume":"23","author":"Bentall","year":"1968","journal-title":"Thorax"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"1684","DOI":"10.1016\/j.athoracsur.2015.10.090","article-title":"Bentall Procedure: A Systematic Review and Meta-Analysis","volume":"101","author":"Mookhoek","year":"2016","journal-title":"Ann. 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