Padrón MFD

Language: Spanish
References: 13
Page:
PDF size: 283.14 Kb.

ABSTRACT

Aortic valve replacement (AVR) is the most frequent surgery worldwide. The interest in minimally invasive aortic valve replacement (MIAVR) is based on new studies that have provided sufficient scientific evidence in terms of decreased ventilation time, bleeding, use of blood products, hospital stay and operative costs. However, in our environment we find obstacles to its development based on personal criteria and not on scientific evidence.
Hemiesternotomy is the most performed MIAVR in the world and the use of sutureless valves will improve surgical times and make it the treatment of choice for AVR worldwide. The benefits of Hemiesternotomy together with the reduction of costs have meant that in many prestigious hospitals worldwide it is considered the "current standard of care" for AVR.

REFERENCES

1. Cosgrove DM 3rd, Sabik JF. Minimally invasive approach for aortic valve operations. Ann Thorac Surg. 1996;62:596–7.

2. Svensson LG. Minimal-access J or j sternotomy for valvular, aortic and coronary operations or reoperations. Ann Thorac Surg. 1997;64:1501–3.

3. Rosengart TK, Feldman T, Borger MA, et al. Percutaneous and minimally invasive valve procedures: a scientific statement from the American Heart Association Council on Cardiovascular Surgery and Anesthesia, Council on Clinical Cardiology, Functional Genomics and Translational Biology Interdisciplinary Working Group, and Quality of Care and Outcomes Research Interdisciplinary Working Group. Circulation 2008;117:1750-67.

4. Schmitto JD, Mokashi SA, Cohn LH. Minimally-invasive valve surgery. J Am Coll Cardiol 2010;56:455-62.

5. Mattia Glauber, Matteo Ferrarini, Antonio Miceli. Minimally invasive aortic valve surgery: state of the art and future directions. Ann Cardiothorac Surg 2015;4(1):26-32

6. Mejuto EC, Cabeza PM. Reemplazo valvular aórtico mínimamente invasivo Cir Cardiov. 2015;22 (5):221–223.

7. Beckmann A, Funkat AK, Lewandowski J, et al.: German Heart Surgery Report 2015: The annual updated registry of the German Society for Thoracic and Cardiovascular Surgery. Thorac Cardiovasc Surg 2016; 64: 462–74.

8. Brown ML, McKellar SH, Sundt TM, Schaff H. Ministernotomy versus conventional sternotomy for aortic valve replacement: A systematic review and meta-analysis. J Thorac Cardiovasc Surg. 2009;137, 670.e5-679.e5.

9. Phan K, Xie A, Di Eusanio M, Yan T. A meta-analysis of minimally invasive versus conventional sternotomy for aortic valve replacement. Ann Thorac Surg. 2014;98:1499–511.

10. Merk DR, Lehmann S, Holzhey DM, Dohmen P, Candolfi P, Misfeld, et al. Minimal invasive aortic valve replacement surgery is associated with improved survival: A propensity-matched comparison. Eur J Cardiothorac Surg. 2015;47:11–7.

11. E.A Rodríguez-Caulo et al. Mejora de la morbilidad postoperatoria en recambio valvular aórtico aislado con miniesternotomía: Estudio pareado por puntuación de propensión Cir Cardiov. 2016;23 (5):229–233.

12. Cohn LH, Adams DH, Couper GS, et al: Minimally invasive cardiac valve surgery improves patient satisfaction while reducing costs of cardiac valve replacement and repair. Ann Surg 1997;226 (4):421–426; discussion 427–428.

13. Ghanta RK, Lapar DJ, Kern JA, et al: Minimally invasive aortic valve replacement provides equivalent outcomes at reduced cost compared with conventional aortic valve replacement: A real-world multinstitutional analysis. J Thorac Cardiovasc Surg 2015;149 (4):1060–1065.