TITLE

Early and late outcomes of 1000 minimally invasive aortic valve operations

AUTHOR(S)
Tabata, Minoru; Umakanthan, Ramanan; Cohn, Lawrence H.; Bolman, Ralph Morton; Shekar, Prem S.; Chen, Frederick Y.; Couper, Gregory S.; Aranki, Sary F.
PUB. DATE
April 2008
SOURCE
European Journal of Cardio-Thoracic Surgery;Apr2008, Vol. 33 Issue 4, p537
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Abstract: Objective: Minimal access cardiac valve surgery is increasingly utilized. We report our 11-year experience with minimally invasive aortic valve surgery. Methods: From 07/96 to 12/06, 1005 patients underwent minimally invasive aortic valve surgery. Early and late outcomes were analyzed. Results: Median patient age was 68 years (range: 24–95), 179 patients (18%) were 80 years or older, 130 patients (13%) had reoperative aortic valve surgery, 86 (8.4%) had aortic root replacement, 62 (6.1%) had concomitant ascending aortic replacement, and 26 (2.6%) had percutaneous coronary intervention on the day of surgery (hybrid procedure). Operative mortality was 1.9% (19/1005). The incidences of deep sternal wound infection, pneumonia and reoperation for bleeding were 0.5% (5/1005), 1.3% (13/1005) and 2.4% (25/1005), respectively. Median length of stay was 6 days and 733 patients (72%) were discharged home. Actuarial survival was 91% at 5 years and 88% at 10 years. In the subgroup of the elderly (≥80 years), operative mortality was 1.7% (3/179), median length of stay was 8 days and 66 patients (37%) were discharged home. Actuarial survival at 5 years was 84%. There was a significant decreasing trend in cardiopulmonary bypass time, the incidence of bleeding, and operative mortality over time. Conclusions: Minimal access approaches in aortic valve surgery are safe and feasible with excellent outcomes. Aortic root replacement, ascending aortic replacement, and reoperative surgery can be performed with these approaches. These procedures are particularly well-tolerated in the elderly.
ACCESSION #
31304668

 

Related Articles

  • Technical Aspects of the Ross Procedure. Conklin, Lori D.; Reardon, Michael J. // Texas Heart Institute Journal;2001, Vol. 28 Issue 3, p186 

    Focuses on Ross procedure, the use of the autologous pulmonary valve for replacement of a diseased aortic valve that was introduced by Donald Ross of Great Britain in 1967. Technical aspects of the procedure; Part of the reason for the delay in acceptance of the surgical procedure; Conclusion.

  • Free Intra-Abdominal Hemorrhage after Open-Heart Surgery. Iriz, Erkan; Ereren, Emrah; Yuksel, Osman; Kalaycioglu, Sedat // Texas Heart Institute Journal;2006, Vol. 33 Issue 4, p523 

    Gastrointestinal complications after open-heart surgery are rare. Many preoperative, intraoperative, and postoperative factors may predispose patients to these complications or cause them. Our patient was a 64-year-old woman who underwent aortic valve replacement due to aortic stenosis. Free...

  • Bleeding management with fibrinogen concentrate targeting a high-normal plasma fibrinogen level: a pilot study. Rahe-Meyer, N.; Pichlmaier, M.; Haverich, A.; Solomon, C.; Winterhalter, M.; Piepenbrock, S.; Tanaka, K. A. // BJA: The British Journal of Anaesthesia;Jun2009, Vol. 102 Issue 6, p785 

    : Background Bleeding diathesis after aortic valve operation and ascending aorta replacement (AV–AA) is managed with fresh-frozen plasma (FFP) and platelet concentrates. The aim was to compare haemostatic effects of conventional transfusion management and FIBTEM (thromboelastometry...

  • First Australian Transapical Mitral Valve-in-Valve Implant for a Failed Mitral Bioprosthesis: How To Do It Poon, Karl K.C.; Clarke, Andrew; Luis, Sushil A.; Wiemers, Paul; Incani, Alexander; Scalia, Gregory; Tesar, Peter; Raffel, Owen Christopher; Aroney, Constantine N.; Walters, Darren L. // Heart, Lung & Circulation;Nov2012, Vol. 21 Issue 11, p737 

    Transcatheter aortic valve replacements lower mortality in patients not suitable for surgical valve replacement compared to conservative treatment. Transcatheter valve-in-valve implants have been shown to be feasible in failed bioprostheses in aortic, mitral, pulmonary and tricuspid positions....

  • Surgical "league tables". Bridgewater, B.; Keogh, B. // Heart;Jul2008, Vol. 94 Issue 7, p936 

    The article reports on the publication of comparative mortality outcomes following coronary artery surgery, aortic valve surgery and all cardiac procedures for individual hospitals and surgeons in Great Britain. It explains why hospital and surgeon results are collected and reported. The article...

  • Bileaflet mechanical prostheses for aortic valve replacement in patients younger than 65 years and 65 years of age or older: Major thromboembolic and hemorrhagic complications. Jamieson, W.R. Eric; Miyagishima, Robert T.; Grunkemeier, Gary L.; Germann, Eva; Henderson, Charmaine; Lichtenstein, Samuel V.; Ling, Hilton; Munro, A. Ian // Canadian Journal of Surgery;Feb99, Vol. 42 Issue 1, p27 

    Examines the major thromboembolic and hemorrhagic complications and predictive risk factors associated with aortic valve replacement (AVR) using bileaflet mechanical prostheses. Profile of the patients; Incidence of coronary artery disease; Major thromboembolic and hemorrhagic complications...

  • If MIAVR is so good, why aren't we all doing it? A UK perspective. Smyth, Justin // Journal of Cardiothoracic Surgery;2013, Vol. 8 Issue Suppl 1, p1 

    An abstract of the article "If MIAVR is so good, why aren't we all doing it? A UK perspective" by Justin Smyth is presented.

  • CoveValve completes ReValving system cases.  // Biomedical Business & Technology;Oct2008, Vol. 31 Issue 10, p26 

    The article reports that five clinical evaluation sites in New Zealand and Australia have completed their first series of proctored cases using CoreValve's ReValving system for percutaneous aortic valve replacement, featuring a porcine pericardium valve mounted in a self-expanding frame. It was...

  • MARTINA WAS FIRST PATIENT TO SURVIVE RARE OPERATION.  // Ebony;Nov1954, Vol. 10 Issue 1, p68 

    The article informs that African American Martina Hall was the first patient to survive a rare heart operation in which a defective aortic valve was replaced with a plastic one, conducted at the Georgetown University Hospital in Washington.

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics