Bentall Procedure in a Marfan Syndrome Patient With Reduced Ejection Fraction: A Case Report
2024

Bentall Procedure in a Marfan Syndrome Patient

Sample size: 1 publication Evidence: moderate

Author Information

Author(s): Muacevic Alexander, Adler John R, Bu Saeed Ghadeer F, Alshammari Manal F, Alamoud Abalkhail Dana S, Elghoneimy Yasser A

Primary Institution: College of Medicine and Surgery, Imam Abdulrahman Bin Faisal University, Dammam, SAU

Hypothesis

Timely surgical intervention is critical for improving outcomes in Marfan syndrome patients with severe aortic root dilation and reduced ejection fraction.

Conclusion

The Bentall procedure significantly improved the patient's condition despite the advanced stage of her disease.

Supporting Evidence

  • Marfan syndrome is a connective tissue disorder that can lead to severe cardiovascular complications.
  • The patient had a significantly reduced ejection fraction of 20%-25% prior to surgery.
  • Postoperative echocardiography showed an improvement in ejection fraction to 25%.
  • The Bentall procedure is a high-risk surgery but can be life-saving in cases of severe aortic dilation.
  • Patients with reduced ejection fraction have higher in-hospital mortality rates.

Takeaway

A woman with a serious heart problem got surgery to fix her aorta, which helped her feel better and stay safe.

Methodology

The patient underwent a Bentall procedure after thorough evaluation and imaging confirmed severe aortic dilation and reduced ejection fraction.

Limitations

The delay in surgical management due to financial constraints increased the risk of complications.

Participant Demographics

35-year-old Bangladeshi female, working as a housemaid.

Statistical Information

P-Value

<0.001

Statistical Significance

p<0.001

Digital Object Identifier (DOI)

10.7759/cureus.76238

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