Esparza PJ, Careaga-Reyna G, Argüero-Sánchez R

Language: Spanish
References: 8
Page: 229-233
PDF size: 73.65 Kb.

ABSTRACT

Objective: We show the experience of the Cardiology Hospital at the XXI Century National Medical Center in the use of a different surgical approach in aortic valve surgery. Material and methods: Eight patients were randomly silected, all with an indication for aortic valve surgery, with standardization of anesthetic, surgical and cardiopulmonary bypass techniques. All procedures were carried out by the same surgical team. Times of aortic cross-slamp, cardiopulmonary bypass, time for orotracheal extubation, ventilatory support and time of discharge form the intensive care unit, were measured as well as perioperative bleeding and compared with a control group. Results: No patient died. These was reoperative case due to bleeding. There were no differences in times of aortic cross-clamping, cardiopulmonary bypass, and the stay in intensive care unit. Perioperative bleeding and ventilatory support was lower than in the control group. Conclusions: We conclude that ministernotomy is a safe technique that does not represent and additional problem for exposure of the ascending aorta.

REFERENCES

1. Julian OC, López-Belio M, Dye WS et al. The median sternal incision in intracardiac surgery with extracorporeal circulation: a general evaluation of its use in heart surgery. Surgery 1957; 42: 753.

2. Cosgrove DM III, Sabik JF. Minimally invasive approach for aortic valve operations. Ann Thorac Surg 1996; 62: 596-7.

3. Cosgrove DM III, Sabik JF, Navia JL. Minimally invasive valve operations. Ann Thorac Surg 1998; 65: 1535-39.

4. Lazzara RR, Kidwell FE. Right parasternal incision: a uniform minimally invasive approach for valve operations. Ann Thorac Surg 1998; 65: 271-272.

5. Svensson LG. Minimal-access “J” or “j” sternotomy for valvular, aortic and coronary operations or reoperations. Ann Thorac Surg 1997; 64: 1501-3.

6. Tam RKW, Almeida AA. Minimally invasive aortic valve replacement via partial sternotomy. Ann Thorac Surg 1998; 65: 275-6.

7. Machler HE, Bergman P, Anelli-Monti M et al. Minimally invasive versus conventional aortic valve operations: a prospective study in 120 patients. Ann Thorac Surg 1999; 67: 1001-5.

8. LoCicero J. The combined cervical and partial sternotomy approach for thymectomy. Chest Surg Clin North Am 1996; 6: 86.