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Long-Term Outcomes after Minimally Invasive Aortic Valve Surgery through Right Anterior Minithoracotomy
| Content Provider | Scilit |
|---|---|
| Author | Walser, Roman van Hemelrijk, Mathias Holubec, Tomas Weber, Alberto Plass, André Maisano, Francesco Reser, Diana |
| Copyright Year | 2016 |
| Description | Background Minimally invasive aortic valve surgery (MIAV) through a right anterior minithoracotomy evolved to an accepted procedure with favorable short- and mid-term outcomes, whereas long-term results lack. The aim of this study was to evaluate the long-term outcomes. Materials and Methods All our MIAV patients were included (n = 225). Mean age was 68 ± 12 years, 29% were older than 75 years, and median EuroSCORE was 5 (0–11). Baseline characteristics, inhospital outcomes, and follow-up information about survival, major adverse cardiac and cerebrovascular events (MACCE), and need for reoperation were collected and analyzed. Results In this study, 30-day mortality was 1.3%, and there was no permanent stroke. Mean follow-up time was 69.65 ± 24 months, being the longest so far reported in the literature. At 1 and 7 years, survival was 95.8 and 79%, freedom from MACCE 98.1 and 95.7%, and from reoperation 99.5 and 98.7%, respectively. Conclusion MIAV is safe and feasible with favorable long-term outcomes. In the future, it could serve as benchmark for interventional methods as soon as indications are expanded to young and low-risk patients. Randomized studies are needed to compare the long-term outcomes of these approaches. All authors declare that they have no competing financial or political interest. |
| Related Links | http://www.thieme-connect.de/products/ejournals/pdf/10.1055/s-0036-1587591.pdf |
| Ending Page | 197 |
| Page Count | 7 |
| Starting Page | 191 |
| ISSN | 01716425 |
| e-ISSN | 14391902 |
| DOI | 10.1055/s-0036-1587591 |
| Journal | The Thoracic and Cardiovascular Surgeon |
| Issue Number | 03 |
| Volume Number | 65 |
| Language | English |
| Publisher | Georg Thieme Verlag KG |
| Publisher Date | 2016-08-30 |
| Access Restriction | Open |
| Subject Keyword | Journal: The Thoracic and Cardiovascular Surgeon Cardiology and Cardiovascular Diseases Aortic Valve Replacement Minimally Invasive |
| Content Type | Text |
| Resource Type | Article |
| Subject | Pulmonary and Respiratory Medicine Surgery Cardiology and Cardiovascular Medicine |
