Ramírez-González B, Infante-Hernández JE

Language: English
References: 7
Page: 29-31
PDF size: 132.96 Kb.

ABSTRACT

Objective. The percentage of patients above 65 years-old has increased in the last 20 years. Also, the percentage of candidates who need an aortic valve replacement with concomitant coronary bypass surgery has increased from 5% to 25%. In cardiac surgery, prolonged cardiopulmonary bypass and aortic cross-clamp time are strong independent risk factors for postoperative mortality and morbidity. The purpose of this study is to analyze the short-term outcomes with the use of Edwards Intuity rapid deployment valve in single and double procedure surgeries. Material. Twenty-nine patients underwent aortic valve replacement with an Intuity valve between April 2021 and May 2022 at our institution. Results. Mean age was 70.86 years old ± 6.56 years, with a mean Euro- SCORE of 2.42%. Concomitant coronary bypass surgery was performed in 12 cases (41%). The average cross-clamp time in isolated aortic valve replacement was 70 minutes, with a cardiopulmonary bypass time of 106 minutes. For 2 concomitant procedures, the cross-clamp time was 115 minutes with a cardiopulmonary bypass of 140 minutes. Mean follow-up was 2.05 months. Mortality at 30 days was 10.3%. As yet, none have required definitive pacemaker placement. Conclusions. The use of the Intuity valve in elderly patients, as well as in concomitant procedures, seems to be a reasonable alternative with good results in the short and medium term. However, a greater number of cases and experience using it are required.

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