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
en Es
| LILACS
| ID: biblio-1389476
Biblioteca responsable:
CL1.1
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.Palabras clave
Texto completo:
1
Base de datos:
LILACS
Asunto principal:
Válvula Aórtica
/
Implantación de Prótesis de Válvulas Cardíacas
Límite:
Aged
/
Female
/
Humans
/
Male
Idioma:
Es
Revista:
Rev. méd. Chile
Asunto de la revista:
MEDICINA
Año:
2021
Tipo del documento:
Article
País de afiliación:
Chile