medigraphic.com
ISSN 1561-2937 (Print)

2017, Number 3

<< Back Next >>

Rev Cubana Cardiol Cir Cardiovasc 2017; 23 (3)

First case of minimally invasive aortic valve surgery at the General Hospital of México “Dr. Eduardo Liceaga”

Ortega-Zhindón DB, Dajer-Fadel WL, Salazar-Hernández I, Flores-Calderón O, Reséndiz-Álvarez Y, Ramírez-Castañeda S

Language: Spanish
References: 10
Page:
PDF size: 470.19 Kb.


ABSTRACT

Cardiac surgery in the last 20 years has evolved along with new technologies, by tailoring a multidisciplinary team to perform minimally invasive surgery with the goal of providing less hospital stay, use of blood products, postoperative complications and a lower length of stay with the same quality and safety of conventional methods. We present a 45-year-old female, received for precordial pain with a mesothelesystolic murmur in the aortic area; the echocardiogram reported a stenotic aortic valve, with an area of 1 cm2, mean pressure gradient of 52 mmHg. We approached by an upper mini-sternotomy in J followed by cardiopulmonary bypass with aortic and unicaval cannulation; replaced the native valve with a 19 mm mechanical type. Afterward she was extubated and transferred to the coronary unit remaining there for 140 hours, discharged from hospital after remaining 48 hours at the general ward. Our results showed similarity in time, evolution and recovery when compared to national and international standards.


REFERENCES

  1. Santana O, Larrauri MC, Escolar E, Brenes JC, Lamelas J. La cirugía valvular mínimamente invasiva. Rev Colomb Cardiol 2014; 21(3):188-194.

  2. Guerrero-Aguirre J, Ortiz-Barrón S, Castillo-Arriaga R, Salazar-Lozano C. La cirugía de invasión mínima: antecedente histórico; presente y perspectivas futuras en el ISSSTE. Rev Esp Méd Quir 2014; 19:375-386.

  3. Concha-Ruiz M. Inicio y Desarrollo Histórico de la Cirugía del Corazón. [Artículo en línea]. [Consultado 10 dic 2016]. disponible en: http://helvia.uco.es/xmlui/bitstream/handle/10396/6957/braco122_1992_6.pdf?sequence=1.

  4. Schmitto JD, Mokashi SA, Cohn LH. Minimally invasive valve surgery. J Am Coll Cardiol 2010; 56:455-462.

  5. Bautista-Hernández V. Minimally invasive surgery. Cir Cardiov 2014; 21(2):107-110.

  6. Glauber M, Ferrarini M, Miceli A. Minimally invasive aortic valve surgery: State of the art and future directions. Ann Cardiothorac Surg 2015; 4(1):26-32.

  7. Corona Perezgrovas MA, Sagahón Martínez JA, Hernández Mejía BI, Martínez Hernández JH, Herrera Alarcón V. Minimally invasive versus total sternotomy approach aortic valve replacement: Comparison of early postoperative evolution. Cir Cardiov 2015; 22(5):224-229.

  8. Jaramillo JS, Matar OA. Present and future in minimal invasive cardiac surgery. Rev Col Cardiol 2013; 20:259-261.

  9. Goldstone AB, Woo YJ. Minimally invasive surgical treatment of valvular heart disease. Semin Thoracic Surg 2014; 26:36-43.

  10. Mestres CA, Domenech A. Cardiovascular surgery, past, present and future. Rev Fed Arg Cardiol 2015; 44:57-63.




2020     |     www.medigraphic.com