Surgery of the Ascending Aorta with or without Combined Procedures through an Upper Ministernotomy: Outcomes of a Series of More Than 100 Patients
| Autor: | Luigi Specchia, Giuseppe Di Eusanio, Olivera Rasovic, Renato Gregorini, Salvatore Nicolardi, Salvatore Lentini, Federica Mangia |
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| Rok vydání: | 2016 |
| Předmět: |
Adult
Male Pulmonary and Respiratory Medicine Aortic valve medicine.medical_specialty Logistic euroscore Aortic Diseases 030204 cardiovascular system & hematology law.invention Constriction Blood Vessel Prosthesis Implantation 03 medical and health sciences 0302 clinical medicine law medicine.artery Ascending aorta medicine Cardiopulmonary bypass Humans Aorta Aged Retrospective Studies Aged 80 and over Cardiopulmonary Bypass business.industry Gastroenterology Retrospective cohort study General Medicine Middle Aged Sternotomy Surgery Treatment Outcome medicine.anatomical_structure 030228 respiratory system Anesthesia Aortic valve surgery cardiovascular system Original Article Female Cardiology and Cardiovascular Medicine business |
| Zdroj: | Annals of Thoracic and Cardiovascular Surgery. 22:44-48 |
| ISSN: | 2186-1005 1341-1098 |
| DOI: | 10.5761/atcs.oa.15-00245 |
| Popis: | Background: Use of a minimally invasive approach for isolated aortic valve surgery is increasing. However, management of the root and/or ascending aorta through a mini-invasive incision is not so frequent. The aim of this study is to report our initial experience with surgery of the ascending aorta through a ministernotomy approach. Methods: We retrospectively analyzed 102 patients treated for ascending aorta disease through a ministernotomy. Several types of surgeries were performed, including isolated or combined surgical procedures. Pre-operative and operative parameters and in-hospital clinical outcomes were retrospectively analyzed. Results: Patient mean age was 63.9 ± 13.6 years (range 29–85). There were 33 (32.4%) female and 69 (67.6%) male patients. Preoperative logistic EuroSCORE I was 7.4% ± 2.1%. Mean cardiopulmonary bypass and aortic cross-clamp time were 123.7 ± 36.9 and 100.8 ± 27.5 min, respectively. In-hospital mortality was 0%. Conclusions: Our experience shows that surgery of the ascending aorta with or without combined procedures can be safely performed through an upper ministernotomy, without compromising surgical results. Although our series is not large, we believe that the experience gained on the isolated aortic valve through a ministernotomy can be safely reproduced in ascending aorta surgery as a routine practice. |
| Databáze: | OpenAIRE |
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