Redefiniendo el estándar de oro para el reemplazo valvular aórtico: mínimamente invasivo y recuperación acelerada

Background: Despite being introduced 20 years ago minimally invasive aortic valve replacement is only performed routinely in a minority of patients world-wide. Aim: To report the operative outcome of minimally invasive aortic valve replacement done through a partial upper sternotomy. Patients and...

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Autores principales:	Turner,Eduardo, Iturra,Sebastián, Paulsen,César, Olivares,Gabriel, Portilla,Mario, Canals,Andrea
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2021
Materias:	Aortic Valve Disease Heart Valve Prosthesis Implantation Minimally Invasive Surgical Procedures
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872021000400508
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spelling	oai:scielo:S0034-988720210004005082021-08-26Redefiniendo el estándar de oro para el reemplazo valvular aórtico: mínimamente invasivo y recuperación aceleradaTurner,EduardoIturra,SebastiánPaulsen,CésarOlivares,GabrielPortilla,MarioCanals,Andrea Aortic Valve Disease Heart Valve Prosthesis Implantation Minimally Invasive Surgical Procedures Background: Despite being introduced 20 years ago minimally invasive aortic valve replacement is only performed routinely in a minority of patients world-wide. Aim: To report the operative outcome of minimally invasive aortic valve replacement done through a partial upper sternotomy. Patients and Methods: Retrospective analysis of data recorded prospectively of 450 consecutive patients with a median age of 66 years (59% males) who had a minimally invasive aortic replacement. Results: 79% of patients had aortic stenosis. Cross clamp/cardiopulmonary bypass times (median) were 56 and 68 minutes respectively. Conversion to full sternotomy was required in 2.6% of patients, reoperation for bleeding in 2.9%. 1.6% suffered a stroke and 19% postoperative atrial fibrillation. 0.9% required a permanent pacemaker. Postoperative mortality was 0.9%. Median postoperative hospital stay was six days. Conclusions: Minimally invasive aortic valve replacement can be performed with satisfactory results.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.149 n.4 20212021-04-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872021000400508es10.4067/s0034-98872021000400508
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Aortic Valve Disease Heart Valve Prosthesis Implantation Minimally Invasive Surgical Procedures
spellingShingle	Aortic Valve Disease Heart Valve Prosthesis Implantation Minimally Invasive Surgical Procedures Turner,Eduardo Iturra,Sebastián Paulsen,César Olivares,Gabriel Portilla,Mario Canals,Andrea Redefiniendo el estándar de oro para el reemplazo valvular aórtico: mínimamente invasivo y recuperación acelerada
description	Background: Despite being introduced 20 years ago minimally invasive aortic valve replacement is only performed routinely in a minority of patients world-wide. Aim: To report the operative outcome of minimally invasive aortic valve replacement done through a partial upper sternotomy. Patients and Methods: Retrospective analysis of data recorded prospectively of 450 consecutive patients with a median age of 66 years (59% males) who had a minimally invasive aortic replacement. Results: 79% of patients had aortic stenosis. Cross clamp/cardiopulmonary bypass times (median) were 56 and 68 minutes respectively. Conversion to full sternotomy was required in 2.6% of patients, reoperation for bleeding in 2.9%. 1.6% suffered a stroke and 19% postoperative atrial fibrillation. 0.9% required a permanent pacemaker. Postoperative mortality was 0.9%. Median postoperative hospital stay was six days. Conclusions: Minimally invasive aortic valve replacement can be performed with satisfactory results.
author	Turner,Eduardo Iturra,Sebastián Paulsen,César Olivares,Gabriel Portilla,Mario Canals,Andrea
author_facet	Turner,Eduardo Iturra,Sebastián Paulsen,César Olivares,Gabriel Portilla,Mario Canals,Andrea
author_sort	Turner,Eduardo
title	Redefiniendo el estándar de oro para el reemplazo valvular aórtico: mínimamente invasivo y recuperación acelerada
title_short	Redefiniendo el estándar de oro para el reemplazo valvular aórtico: mínimamente invasivo y recuperación acelerada
title_full	Redefiniendo el estándar de oro para el reemplazo valvular aórtico: mínimamente invasivo y recuperación acelerada
title_fullStr	Redefiniendo el estándar de oro para el reemplazo valvular aórtico: mínimamente invasivo y recuperación acelerada
title_full_unstemmed	Redefiniendo el estándar de oro para el reemplazo valvular aórtico: mínimamente invasivo y recuperación acelerada
title_sort	redefiniendo el estándar de oro para el reemplazo valvular aórtico: mínimamente invasivo y recuperación acelerada
publisher	Sociedad Médica de Santiago
publishDate	2021
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872021000400508
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Redefiniendo el estándar de oro para el reemplazo valvular aórtico: mínimamente invasivo y recuperación acelerada

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