Thanh bên bài viết
Số lượt xem PDF: 3
Midterm results of totally endoscopic mitral valve replacement via right minithoracotomy at Hanoi Heart Hospital
Nội dung chính của bài viết
Tóm tắt
This was a cross- sectional study included 121 patients with mean age of 57 ± 9.2 years (35 - 75), 80.2% of patients was women. All patients had heart failure classified by NYHA as moderate to severe, with 66.9% falling into NYHA classes 3-4. Surgical statistics showed: Mean aortic clamping time: 75,3 ± 24,6 minutes (35 – 191), mean cardiopulmonary bypass time: 125,7 ± 36,8 minutes (62 – 297), operative time: 199,3 ± 52,7 minutes (120 – 390), mean ventilation time was 14.4 ± 13.9 hours. 94.2% of patients were extubated within 24 hours. Mean ICU stay time was 2.8± 1.3 days (1-10), and mean hospital stay time was 11.4 ± 4.4 days (6-28). Pneumonia was the most common posoperative complication, occurring in 7 patients (5.7%). Other complications included: Venous perforation: 1 patient (0.8%), cognitive dysfunction: 2 patients (1.7%), stroke: 1 patient (0.8%), chest wall bleeding requiring reoperation: 2 patients (1.7%), pericardial effusion requiring drainage: 1 patient (0.8%), chest wound infection: 2 patients (1.7%), in-hospital mortality 0% .
Chi tiết bài viết
Từ khóa
mini-invasive mitral valve replacement, totally endoscopic, right minithoracotomy
Tài liệu tham khảo
2. Lawrence H. Cohn. Cardiac Surgery in the Adult. The McGraw – Hill Companies, Inc; 2008.
3. Nguyen Huu Uoc, Nguyen Tien Quan, Nguyen Thu Ngan, Pham Quoc Dat. Outcomes of minimally invasive open-heart surgery with endoscopic assistance at Viet Duc University Hospital. Vietnam Surgery Journal. 2016;66(2):12-23.
4. Nguyen Sinh Hien, Tran Le Cong Thang, Nguyen Minh Ngoc. Early and mid-term outcomes of minimally invasive mitral valve repair via a small right chest incision at Hanoi Heart Hospital. Vietnam Medical Journal; 2021 507(2). https://doi.org/10.51298/vmj.v507i2
5. Taghizadeh-Waghefi, A.; Arzt, S.; De Angelis, V.; Schiffarth, J.; Petrov, A.; Tomko, M.; Alexiou, K.; Matschke, K.; Kappert, U.; Wilbring, M. Safety and Efficacy of the Transaxillary Access for Minimally Invasive Mitral Valve Surgery—A Propensity Matched Competitive Analysis. Medicina 2022, 58, 1850. https://doi.org/10.3390/ medicina58121850
6. Hailong Cao, MD, PhD, Qing Zhou, MD, Yunxing Xue, MD, Fudong Fan, MD, Dongjin Wang, MD, PhD, Mitral Valve Surgery via a Right Infra-axillary Thoracotomy in High-Risk Reoperative Patients.Heart Surg Forum. 2020 Apr 10;23(2):E200-E204. doi: 10.1532/hsf.2897
7. Li et al.: The right vertical infra-axillary incision for mitral valve replacement. Journal of Cardiothoracic Surgery 2010 5:104
8. Zhao, G., Gao, J., Liu, Y., Gu, S., Guo, Y., Xie, B., & Su, P. X. (2017). Two-Incision Totally Thoracoscopic Approach for Mitral Valve Replacement. International Heart Journal, 58(6), 894–899. doi:10.1536/ihj.16-450
9. Le Van Hung. Results of Endoscopic Bioprosthetic Mitral Valve Replacement at the Cardiology Center, E Hospital, Hanoi Medical University; 2022.
10. Pham Thanh Dat. Early Outcomes of Minimally Invasive Mitral Valve Replacement with Endoscopic Assistance at the Cardiology Center, E Hospital, Hanoi Medical University; 2015.