2000, Number 6
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ABSTRACTObjective: 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.
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