Minimally Invasive Aortic Valve Surgery. A Safe and Useful Technique Beyond the Cosmetic Benefits

The aim of this study was to compare the in-hospital clinical outcomes of minimally invasive, isolated aortic valve replacement vs median sternotomy. Between 2005 and 2012, 615 patients underwent aortic valve replacement at a single institution, 532 by a median sternotomy (E group) and 83 by a J-sha...

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Published in:Revista española de cardiología (English ed.) 2013-09, Vol.66 (9), p.695-699
Main Authors: Paredes, Federico A., Cánovas, Sergio J., Gil, Oscar, García-Fuster, Rafael, Hornero, Fernando, Vázquez, Alejandro, Martín, Elio, Mena, Armando, Martínez-León, Juan
Format: Article
Language:English
Subjects:
Aged
Aortic valve
Aortic Valve - surgery
Cardiac Surgical Procedures - adverse effects
Cardiac Surgical Procedures - methods
Cirugía
Female
Heart Valve Prosthesis Implantation - adverse effects
Heart Valve Prosthesis Implantation - methods
Humans
Longevity
Male
Middle Aged
Minimally invasive
Minimally Invasive Surgical Procedures - adverse effects
Minimally Invasive Surgical Procedures - methods
Mínimamente invasiva
Postoperative Complications - epidemiology
Retrospective Studies
Sternotomy
Surgery
Treatment Outcome
Válvula aórtica
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Summary:The aim of this study was to compare the in-hospital clinical outcomes of minimally invasive, isolated aortic valve replacement vs median sternotomy. Between 2005 and 2012, 615 patients underwent aortic valve replacement at a single institution, 532 by a median sternotomy (E group) and 83 by a J-shaped ministernotomy (M group). No significant differences were found between the E and M groups in terms of age (69.27 [9.31] years vs 69.40 [10.24] years, respectively), logistic EuroSCORE (6.27 [2.91] vs 5.64 [2.17], respectively), size of implanted valve prosthesis (21.94 [2.04] mm vs 21.79 [2.01] mm, respectively), or the incidence of diabetes, hypercholesterolemia, high blood pressure, or chronic obstructive pulmonary disease. Mean cardiopulmonary bypass time was 102.90 (41.68) min for the E group vs 81.37 (25.41) min for the M group (P
ISSN:1885-5857
1885-5857
DOI:10.1016/j.rec.2013.02.013