Aortic valve replacement via right-sided anterior minithoracotomy

E.P. Evseev

Petrovsky Russian Scientific Center of Surgery

ORCID: 0000-0002-3806-9658

M.A. Fomin

Petrovsky Russian Scientific Center of Surgery

ORCID: 0000-0002-7555-3633

E.V. Balakin

Petrovsky Russian Research Center of Surgery

Ya.A. Aidamirov

Petrovsky Russian Research Center of Surgery

V.A. Ivanov

Petrovsky Russian Research Center of Surgery

T.G. Nikityuk

Petrovsky Russian Scientific Center of Surgery

ORCID: 0000-0003-4192-7366

S.V. Fedulova

Petrovsky National Research Centre of Surgery

SPIN RSCI: 8334-7932
Scopus AuthorID: 23472622200
ORCID: 0000-0003-4517-9078

Yu.V. Belov

Petrovsky National Research Center of Surgery;
Sechenov First Moscow State Medical University

SPIN RSCI: 2740-1439
ResearcherID: 7101862336
ORCID: 0000-0002-9280-8845

Aortic valve replacement via right-sided anterior minithoracotomy

Authors:

E.P. Evseev, M.A. Fomin, E.V. Balakin, Ya.A. Aidamirov, V.A. Ivanov, T.G. Nikityuk, S.V. Fedulova, Yu.V. Belov

More about the authors

Journal: Russian Journal of Cardiology and Cardiovascular Surgery. 2023;16(2): 150‑155

DOI: 10.17116/kardio202316021150

Downloaded: 56

To cite this article:

Evseev EP, Fomin MA, Balakin EV, Aidamirov YaA, Ivanov VA, Nikityuk TG, Fedulova SV, Belov YuV. Aortic valve replacement via right-sided anterior minithoracotomy. Russian Journal of Cardiology and Cardiovascular Surgery. 2023;16(2):150‑155. (In Russ., In Engl.)
https://doi.org/10.17116/kardio202316021150

Доказательная гастроэнтерология: pro et contra

Актуальные вопросы педиатрической практики

Использование инфографики авторами научных работ

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OBJECTIVE

To evaluate the effectiveness and safety of aortic valve replacement via right-sided anterior minithoracotomy.

MATERIAL AND METHODS

A retrospective analysis of surgical treatment of 9 patients with aortic insufficiency was performed. All patients underwent aortic valve replacement with mechanical prosthesis via right-sided anterior minithoracotomy.

RESULTS

Mean surgery time was 203±20.1 min (95% CI 190—216), cardiopulmonary bypass time — 92.9±18.5 min (95% CI 80.8—105), aortic cross-clamp time — 74.2±17.3 min (95% CI 62.9—85.5). None patient required postoperative inotropic and vasopressor support. Ventilation time was 4.9 hours (95% CI 3.3—6.4). Mean pressure gradient on the aortic valve prosthesis was 12.9±3.3 mm Hg (95% CI 10.7—15). There were no lethal outcomes. Mean length of postoperative hospital-stay was 6.1±1.8 days (95% CI 4.8—7.5).

CONCLUSION

Aortic valve replacement via right-sided anterior minithoracotomy is safe and effective procedure. The main advantages of this method compared to median sternotomy are less blood loss, length of hospital- and ICU-stay. High patient satisfaction with early return to daily activity, less pain syndrome and good cosmetic results are also essential.

Keywords:

right-sided anterior minithoracotomy

minimally invasive surgery

aortic insufficiency

aortic valve replacement

Authors:

E.P. Evseev

Petrovsky Russian Scientific Center of Surgery

ORCID: 0000-0002-3806-9658

M.A. Fomin

Petrovsky Russian Scientific Center of Surgery

ORCID: 0000-0002-7555-3633

E.V. Balakin

Petrovsky Russian Research Center of Surgery

Ya.A. Aidamirov

Petrovsky Russian Research Center of Surgery

V.A. Ivanov

Petrovsky Russian Research Center of Surgery

T.G. Nikityuk

Petrovsky Russian Scientific Center of Surgery

ORCID: 0000-0003-4192-7366

S.V. Fedulova

Petrovsky National Research Centre of Surgery

SPIN RSCI: 8334-7932
Scopus AuthorID: 23472622200
ORCID: 0000-0003-4517-9078

Yu.V. Belov

Petrovsky National Research Center of Surgery;
Sechenov First Moscow State Medical University

SPIN RSCI: 2740-1439
ResearcherID: 7101862336
ORCID: 0000-0002-9280-8845

Received:

01.07.2022

Accepted:

10.08.2022

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