ISMICS - Aortic Valve Replacement By Mini-j Sternotomy In Patient With Bmi More Then 31.

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Aortic Valve Replacement By Mini-j Sternotomy In Patient With Bmi More Then 31.
Mikhail Fomenko, Yuri Schneider, Victor Tsoi;
Federal center of High Medical Technologies, Ministry of Health of the Russian Federation, Kaliningrad, Russian Federation

BACKGROUND:The aim of our study was a retrospective evaluate of effective and safety procedure Mini-J sternotomy in patient with BMI more then 31. METHODS:Between October 2012 to December 2023, in our Center was performed 779 operations - isolated aortic valve replacement. Aortic valve replacement by Mini-J sternotomy performed in 263 cases. In 167 cases registered BMI more 31 and in 68 cases BMI was more 35. The mean was 67,8 � 12 years. In study prevailed female: 63.8%. Mean peak gradient on aortic valve was 74.2 � 19.8 mm Hg. Art. Mean EuroScore II was 2.6 � 0.5%. RESULTS: Hospital mortality in evaluate group no registered. Operations relation complications: complete atrioventricular block, interventricular septal defect - no detected. Mean duration of operation was: 166.9 � 16.9 with on pump - 65.5 � 12.5 minutes. Mean follow-up period was 61.1 months (95% CI 51.6-66.4). The survival rate in 12, 36 and 60 month was 99.2%, 94.4% and 89.3%. The freedom from thromboembolic events in 12, 36 and 60 month was 100%, 95.5% and 92.3%. CONCLUSIONS: Using Mini-J sternotomy for treatment aortic valve in patient with BMI more 31 allows effective and safe treatment of this group patients and shows good mid- and long-term results.

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