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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
2. Marcin Kaczmarczyk, Przemyslaw Szatariski, Michat Zembala et el, “ Minimally invasive aortic valve replacement – pros and cons of keyhole aortic surgery” , Kardiochirurgia i Torakochirurgia Polska 2015; 12 (2).
3. Signe Foghsgaard, MD Thomas Andersen Schmidt, MD, DMSc Henrik K. Kjaergard, MD, DMSc, 2009, “Minimally Invasive Aortic Valve Replacement Late Conversion to Full Sternotomy Doubles Operative Time”, Texas Heart Institute Journal, p 293-7.
4. Shahzad G. Raja, Umberto Bendetto, Mohamed Amrani, 2013, “ Aortic valve replacement thought J-shaped partial upper sternotomy” , J thorac Dis , 5(56), p 5662- 5668.
5. Ji Hyun Bang, MD, Jong Wook Kim, MD, Jae Won Lee, MD et al, 2012, “ Minimally invasive approaches versus conventional sternotomy for aortic valve replacement : A propensity score matching study “, Korean J Thorac Cardiovasc Surg, 45 : 80-84.
6. Tabata M, Aranki SF, Fox JA, et al, 2007, “Minimally invasive aortic valve replacement in left ventricular dysfunction”. Asian Cardiovasc Thorac Ann ;15:225-8.
7. De Smet JM, Rondelet B, Jansens JL, et al, 2004, “Assessment based on EuroSCORE of ministernotomy for aortic valve replacement”. Asian Cardiovasc Thorac Ann ;12:53-7.