Ministernotomy for Proximal Aortic Aneurysms
An Thai Nguyen.
Cho Ray Hospital, Ho Chi MInh City, Viet Nam.
Background: Minimally invasive cardiac surgery (MICS) is popular now in the world. The MICS for aortic root diseases is not done at the hospital. This study estimate the applications of MICS for proximal aortic diseases including aortic valve diseases, root aneurysm, ascending and arch diseases of the aorta. Method: Descriptive prospective study from February 2016 to July 2017. Results: Thirty two patients were operated with no mortality. Male/female= 23/9, age 57,7±14,5 (20-72)yo . Mini-Bentall procedures were done 14 times, valve-sparing root replacement 3 times, replacement of ascending aorta combined with aortic valve replacement 20 times, hemi-arch replacement 9 times, total arch replacement 1 time, aortic annulus enlargement 1 time. Conversion to full sternotomy was done in 1 patient. Post -operative bleeding was in 2/32 (6,25%) patients. There is no mortality for 30 days. Conclusion: MICS for proximal aortic diseases is safe and can be done routinely.
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