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Video-Assisted Minimally Invasive Aortic Valve Replacement Through Right Anterior Minithoracotomy for All Comers With Aortic Valve Disease.
Bakhtiary, Farhad; El-Sayed Ahmad, Ali; Amer, Mohamed; Salamate, Saad; Sirat, Sami; Borger, Michael A.
Afiliación
  • Bakhtiary F; 12263 Division of Cardiac Surgery, Heart Centre Siegburg-Wuppertal, University Witten-Herdecke, Germany.
  • El-Sayed Ahmad A; 12263 Division of Cardiac Surgery, Heart Centre Siegburg-Wuppertal, University Witten-Herdecke, Germany.
  • Amer M; 12263 Division of Cardiac Surgery, Heart Centre Siegburg-Wuppertal, University Witten-Herdecke, Germany.
  • Salamate S; 12263 Division of Cardiac Surgery, Heart Centre Siegburg-Wuppertal, University Witten-Herdecke, Germany.
  • Sirat S; 12263 Division of Cardiac Surgery, Heart Centre Siegburg-Wuppertal, University Witten-Herdecke, Germany.
  • Borger MA; 40628 Division of Cardiac Surgery, University Clinic of Cardiac Surgery, Leipzig Heart Centre, Leipzig, Germany.
Innovations (Phila) ; 16(2): 169-174, 2021.
Article en En | MEDLINE | ID: mdl-33355012
OBJECTIVE: Right anterior minithoracotomy is a promising technique for aortic valve replacement and has shown excellent results in terms of mortality and morbidity. Against this background, we analyzed our institutional experience in this technique during the last 3 years. METHODS: Between April 2017 and March 2019, 513 consecutive all comers with aortic valve disease underwent video-assisted minimally invasive aortic valve replacement through a 3-cm skin incision as right anterior minithoracotomy at our institution. A camera and automatic fastener technology were used for the valve implantation in all patients. Clinical data were prospectively entered into our institutional database. RESULTS: Cardiopulmonary bypass time accounted for 68 ± 24 min and the myocardial ischemic time 38 ± 12 minutes. Thirty-day mortality and overall mortality was 0.4% (2 patients) and 1.4% (7 patients), respectively. Postoperative cerebrovascular events were noted in 8 patients (1.5%). Intensive care stay and hospital stay were 2 ± 2 and 9 ± 7 days, respectively. Pacemaker implantation, injury of the right internal mammary artery, and conversion to full sternotomy were noted in 7 patients (1.4%), 3 patients (0.6%), and 1 patient (0.2%), respectively. Paravalvular leak need to intervention was noted in 2 patients (0.4%). Rethoracotomy rate was 2% (11 patients). Transient postoperative dialysis was necessary for 14 patients (3%). CONCLUSIONS: Video-assisted minimally invasive aortic valve replacement through the right anterior minithoracotomy is a safe approach and yields excellent outcomes in high-volume centers. The use of a camera and automatic fastener technology facilitates this procedure.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Implantación de Prótesis de Válvulas Cardíacas / Enfermedad de la Válvula Aórtica Tipo de estudio: Observational_studies Límite: Humans Idioma: En Revista: Innovations (Phila) Año: 2021 Tipo del documento: Article País de afiliación: Alemania Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
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XML
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Implantación de Prótesis de Válvulas Cardíacas / Enfermedad de la Válvula Aórtica Tipo de estudio: Observational_studies Límite: Humans Idioma: En Revista: Innovations (Phila) Año: 2021 Tipo del documento: Article País de afiliación: Alemania Pais de publicación: Estados Unidos