Minimally Invasiveaortic Valvereplacement: Our Experience
DR. YOGESH T, DR. VIKAS S. R., DR. SUBHASH KUMAR KADIM, DR. MAYURI SRIVATSAVA, PROF. DURGA PRASAD REDDY.B.
VYDEHI INSTITUTE OF MEDICAL SCIENCES & RESEARCH CENTRE, BANGALORE, India.
OBJECTIVE: To review the results of minimally invasive aortic valve replacement (AVR) through a right anterior minithoracotomy METHODS: From July 2012 to January 2018, a total of 84 patients with isolated aortic valve disease (rheumatic in 62 patients, degenerative in 14 patients, congenital in 8 patients) underwent AVR through a right anterior minithoracotomy approach in the third intercostal space with a groin for femoral cannulation. RESULTS: The mean age was 41.4 years (ranging from 19 to 74 years). 58 patients were male. Mean duration of cardiopulmonary bypass time and aortic cross-clamp time was (82 ± 23) minutes and (53 ± 16) minutes, respectively. 2 patients required conversion to median sternotomy. Follow-up was per incision formed in all patients for a period of 15 ± 6 months postoperatively. A good recovery was obtained in all patients. CONCLUSIONS: Minimally invasive aortic valve replacement though the right anterior minithoracotomy approach is safe and feasible with reduced postoperative recovery time.
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