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Đánh giá kết quả bước đầu phẫu thuật thay van động mạch chủ qua đường mỡ nửa trên xương ức
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Abstract
In 4 years, we operated 65 patients. The mean age was 52.8 ± 13.3 age, In clinical presentation, the NYHA class III was the most occupied (60%). Cardiac echo showed that the EF% was 64.8 ± 9.9, LVAD was 5.3 ± 1.2, aortic valve stenosis- regurgitation was the most fequence (70.8%). All the patient had been aortic valve replacement by upper semisternotomy J-shape, the mean time of operation was 270.1 ± 77.1 min, the mean time of CPB was 133.2 ± 54.5 min, the blood loss was 709.2 ± 515.8 ml. The mean time of ICU was 56.6 ± 58.1 hours, the days of hospitalization was 12.9 ± 6.6 days. We had 12.3% of bleeding in postoperation. The rate of mortality 30-days was 4.6%. No case needed to convert to standard sternotomy. The method of aortic valve replacement by upper semi-sternotomy J-shape had probability, safety and efficiency. This procedure could perform in clinical.*
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Keywords
Aortic valve replacement (AVR), minimally invasive cardiac surgery (MICS), upper semi-sternotomy J-shape.
References
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