Redefiniendo el estándar de oro para el reemplazo valvular aórtico: mínimamente invasivo y recuperación acelerada / Redefining the gold standard for aortic valve replacement: minimally invasive with accelerated recovery
Rev. méd. Chile
;
149(4): 508-513, abr. 2021. tab
Article
in Spanish
| LILACS
| ID: biblio-1389476
ABSTRACT
Background:
Despite being introduced 20 years ago minimally invasive aortic valve replacement is only performed routinely in a minority of patients world-wide.Aim:
To report the operative outcome of minimally invasive aortic valve replacement done through a partial upper sternotomy. Patients andMethods:
Retrospective analysis of data recorded prospectively of 450 consecutive patients with a median age of 66 years (59% males) who had a minimally invasive aortic replacement.Results:
79% of patients had aortic stenosis. Cross clamp/cardiopulmonary bypass times (median) were 56 and 68 minutes respectively. Conversion to full sternotomy was required in 2.6% of patients, reoperation for bleeding in 2.9%. 1.6% suffered a stroke and 19% postoperative atrial fibrillation. 0.9% required a permanent pacemaker. Postoperative mortality was 0.9%. Median postoperative hospital stay was six days.Conclusions:
Minimally invasive aortic valve replacement can be performed with satisfactory results.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Aortic Valve
/
Heart Valve Prosthesis Implantation
Limits:
Aged
/
Female
/
Humans
/
Male
Language:
Spanish
Journal:
Rev. méd. Chile
Journal subject:
Medicine
Year:
2021
Type:
Article
Affiliation country:
Chile
Institution/Affiliation country:
Clínica Santa María/CL
/
Instituto Nacional del Tórax/CL
Similar
MEDLINE
...
LILACS
LIS