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
Artigo
em Espanhol
| 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.
Texto completo:
DisponíveL
Índice:
LILACS (Américas)
Assunto principal:
Valva Aórtica
/
Implante de Prótese de Valva Cardíaca
Limite:
Idoso
/
Feminino
/
Humanos
/
Masculino
Idioma:
Espanhol
Revista:
Rev. méd. Chile
Assunto da revista:
Medicina
Ano de publicação:
2021
Tipo de documento:
Artigo
País de afiliação:
Chile
Instituição/País de afiliação:
Clínica Santa María/CL
/
Instituto Nacional del Tórax/CL
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