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RESULTS OF MINIMALLY INVASIVE AORTIC VALVE REPLACEMENT SURGERY THROGH INTERCOSTAL SPACE II RIGHT THORACOTOMY AT HANOI HEART HOSPITAL
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Abstract
Objectives: Describe the clinical, subclinical, surgical indication and evaluate results of minimally invasive aortic valve replacement surgery throgh intercostal space II right thoracotomy at HaNoi Heart Hospital. Subjects and methods: A cross-sectional and retrospective descriptive study on 53 patients with aortic valve disease, who were treated with minimally invasive aortic valve replacement surgery alone at HaNoi Heart Hospital from July 2019 to December 2022. Results: There was 53 patients in the research. Mean age was 60,2±11,6 (25-82), and 47.2% was male. 22.6% of patients had peripheral vascular disease. 20.8% underwent central arterial cannulation. 3 patients (5.7%) had pericardial adhesion. There was no early mortality, 2 patients had redo surgery due to excess bleeding. Mean follow-up time was 12.8 months. 86.5% of patients had NYHA I. 1 patients was dead due to intracerebral hemorrhage. Conclusions: With some improvements intechniques, minimally invasive aortic valve replacement surgery throught right thoracotomy gave good early and midterm result in our center.
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Keywords
aortic valve replacement, minimally invasive, right anterior thoracotomy, right thoracotomy wedge-shaped.
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