Minimally invasive aortic valve repair using geometric ring annuloplasty
| Autor: | Mattia Glauber, James Scott Rankin, Vinay Badhwar, Marc W. Gerdisch, Antonio Miceli, Joshua N. Baker, Tomislav Klokocovnik, Theodor Fischlein, Lawrence M. Wei |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Pulmonary and Respiratory Medicine
Adult Male Reoperation medicine.medical_specialty Aortic root Aortic Valve Insufficiency Hemodynamics Annuloplasty rings Cardiac Valve Annuloplasty Aortic valve repair Aortic valve replacement Medicine Humans Major complication Aged Heart Valve Prosthesis Implantation business.industry Ring annuloplasty Middle Aged medicine.disease Surgery Clamp Treatment Outcome Aortic Valve Heart Valve Prosthesis Cardiology and Cardiovascular Medicine business |
| Zdroj: | Journal of cardiac surgeryREFERENCES. 37(1) |
| ISSN: | 1540-8191 |
| Popis: | OBJECTIVES As aortic valve repair (AVr) for aortic insufficiency (AI) expands, minimally invasive (Mi) approaches are increasingly being applied. Cardiac surgical techniques can be more difficult through small incisions, and this report analyzes medium-term outcomes for MiAVr facilitated by geometric ring annuloplasty. METHODS Since 2013, 58 patients were selected for AVr through upper sternotomy third-interspace incisions. The average age was 58.9 ± 15.4 (mean ± SD) years, 71% were male, and preoperative AI grade was 3.6 ± 0.8. Sixty-two percent (36/58) had a proximal aortic replacement for ascending aortic aneurysms (n = 26) and/or remodeling grafts for aortic root aneurysms (n = 10). Annuloplasty rings were placed subannularly (69% trileaflet; 31% bicuspid), and leaflet procedures were performed in 70%. The average ring diameter was 21.6 ± 1.4 mm, and the average aortic clamp time was 113 ± 35 min. RESULTS After repair, AI grade fell to an average of 0.5 ± 0.6 (p |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|