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RESULTS OF MINIMALLY INVASIVE MITRAL VALVE SURGERY WITH EARLY EXTUBATION AT VIET DUC UNIVERSITY HOSPITAL
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Abstract
Background: Evaluate early results of minimally invasive mitral valve surgery associated fast tract anesthesia and early extubation at Viet Duc University Hospital. Methods: This is a retrospective, descriptive study with a convenient sample size, including all acceptable patients from January 2021 to April 2022. Results: There were 44 patients with female/male rate ~ 1,6 and average age 49,61±10,73 (range 25 - 67). There was no hospital mortality. Cardio-pulmonary bypass time, aortic cross clamp time and operating time were 103,51±20,66 minutes (range 64 - 157), 81,02±15,85 minutes (range 52 - 126) and 3,29±0,48 hours (range 2,5-4.8) relatively. Ventilation time, length of ICU stay and hospital stay were 88,11±100,65 minutes (range 10 - 360), 15,82±4,08 hours (range 10 - 24) and 13,18±3,72 days (range 8 - 25) relatively. Seven patients (15,6%) had temporary agitation after surgery, one (2,3%) had lung atelectasis, one (2,3%) required reoperation because bleeding from chest wound and one (2,3%) had lymphatic leak from femoral wound. Conclusion: A combination between minimally invasive mitral valve surgery, fast truck anesthesia and early extubation was safe and feasible. Our early results showed significantly reduce ventilation time and length of ICU stay in study group without serious complications
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Keywords
Minimally invasive mitral valve surgery, fast tract cardiac anesthesia
References
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