Redefining the gold standard for aortic valve replacement: Minimally invasive with accelerated recovery

BACKGROUNDDespite being introduced 20 years ago minimally invasive aortic valve replacement is only performed routinely in a minority of patients world-wide. AIMTo report the operative outcome of minimally invasive aortic valve replacement done through a partial upper sternotomy. PATIENTS AND METHOD...

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Bibliographic Details
Published in:Revista medíca de Chile 2021-04, Vol.149 (4), p.508-513
Main Authors: Turner, Eduardo, Iturra, Sebastián, Paulsen, César, Olivares, Gabriel, Portilla, Mario, Canals, Andrea
Format: Article
Language:Spanish
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Summary:BACKGROUNDDespite being introduced 20 years ago minimally invasive aortic valve replacement is only performed routinely in a minority of patients world-wide. AIMTo report the operative outcome of minimally invasive aortic valve replacement done through a partial upper sternotomy. PATIENTS AND METHODSRetrospective 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. RESULTS79% 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. CONCLUSIONSMinimally invasive aortic valve replacement can be performed with satisfactory results.
ISSN:0717-6163
DOI:10.4067/s0034-98872021000400508