| dc.creator | Bahamondes S,Juan Carlos | |
| dc.creator | Meriño S,Gustavo | |
| dc.creator | Salman A,Juan | |
| dc.creator | Silva V,Abelardo | |
| dc.creator | Droguett G,Jean Pierre | |
| dc.date | 2008-09-01 | |
| dc.date.accessioned | 2017-03-07T16:02:57Z | |
| dc.date.available | 2017-03-07T16:02:57Z | |
| dc.identifier | http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872008000900008 | |
| dc.identifier.uri | http://repositorioslatinoamericanos.uchile.cl/handle/2250/395187 | |
| dc.description | Background: Aortic valve surgery can be performed through a reduced mid sternotomy with excellent long term results. Aim: To report the initial results obtained with this technique. Patients and methods: Descríptive study of 20 patients aged 48±11 years, subjected to valve replacement surgery for aortic valve disease between 2004 and 2007. Arterial and venous cannulation were performed with the usual method and extracorporeal circulation was performed with a mean perfusión of 4.5 L/min. Hypothermia and cardioplegia were performed infusing the hematíe cardioplegic solution at 4°C in the aortic root or coronary ostia. Results: Sixteen patients were in functional class (FC) III. Fourteen patients had aortic insufficieney and six had predominant stenosis. There was no operative mortality One patient had a left hemothorax and was reoperated. AU patients were discharged between 4 and 6 days after surgery. Mean follow up was 21 ± 4 months. AU patients are in FC I and free from cardiac events. Echocardiographic assessment was done in 16 patients, showing a good motility of valve disks. Actuarial survival probability was 100% and probability of freedom from cardiac events was 100% at 42 months of follow up. Conclusions: Ministernotomy is an excellent approach for aortic valve surgery providing good visualization ofthe ascending aorta, simplifying the surgical technique. | |
| dc.format | text/html | |
| dc.language | es | |
| dc.publisher | Sociedad Médica de Santiago | |
| dc.source | Revista médica de Chile v.136 n.9 2008 | |
| dc.subject | Aortic valve | |
| dc.subject | Cardiac surgical procedures | |
| dc.subject | Heart valve diseases | |
| dc.subject | Surgical procedures, minimally invasive | |
| dc.title | Miniesternotomía para cirugía valvular aórtica: Experiencia inicial en un centro cardiovascular en Chile | |
| dc.type | Artículos de revistas | |
