[Pulmonary complications after minimally invasive aortic valve replacement surgery - a propensity score matching analysis].
Przegl Lek
; 74(4): 163-7, 2017.
Article
em Pl
| MEDLINE
| ID: mdl-29696954
ABSTRACT
Instruction To answer the question if minimally invasive aortic valve replacement surgery through a right anterior minithoracotomy (RT-AVR) may result in increased incidence of postoperative pulmonary complications compared to conventional aortic valve replacement through a median sternotomy (AVR). Material and Methods:
It was retrospective analysis of 212 patients scheduled for RT-AVR and 212 for AVR between January 2011 and December 2014 selected with propensity score matching. Respiratory system complications are analysed.Results:
Postoperative blood drainage was 353±249 and 524±325 ml in RT-AVR and AVR groups respectively (p<0.001). Hospital stay was 5.7±1.6 and 8.5±4.3 days (p<0.001), ICU stay was 1.3±1.2 and 2.6±2.8 days (p<0.001) in RT-AVR and AVR patients respectively. Respiratory system complications occurred in 13.7% of RT-AVR patients and 17.0% of AVR patients (p=0.364). Pneumonia was diagnosed in 2.4% and 0.5% of patients (p=0.129), pneumothorax in 2.0% and 1.3% of patients (p=0.515), pleural effusion in 8.5% and 7.5% of patients (p =0.732) and thoracentesis was performed in 7.1% and 7.5% of patients from RT-AVR and AVR groups respectively. Mediastinitis was diagnosed in 0.0% of RT-AVR and 2.8% of AVR patients (p=0.020). Phrenic nerve dysfunction was present in 3.8% of RT-AVR and in 0.0% of AVR patients (p=0.006). COPD (OR=5.5; p<0.001) and increased postoperative blood loss (OR=3.5; p<0.001) were risk factors of postoperative pulmonary complications.Conclusion:
Minimally invasive RT-AVR surgery did not result in increased rate of postoperative pulmonary complications compared to conventional AVR surgery through a median sternotomy.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Valva Aórtica
/
Complicações Pós-Operatórias
/
Toracotomia
/
Procedimentos Cirúrgicos Minimamente Invasivos
/
Implante de Prótese de Valva Cardíaca
Tipo de estudo:
Etiology_studies
/
Observational_studies
/
Risk_factors_studies
Limite:
Adult
/
Aged
/
Aged80
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
Pl
Revista:
Przegl Lek
Ano de publicação:
2017
Tipo de documento:
Article