ISSN: 1859 - 2872
Evaluate the safety and effectiveness of aortic valve replacement through the right anterior thoracotomy at the second intercostal space
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Abstract
Objective: To evaluate the safety and effectiveness of aortic valve replacement through the 2nd intercostal space right anterior thoracotomy, especially for elderly patients. Subject and method: Study on 74 patients undergoing aortic valve replacement surgery through the 2nd intercostal space right anterior thoracotomy at Hanoi Heart Hospital and 108 Military Central Hospital, from October 2019 to December 2022. Patients were evaluated preoperatively and postoperative follow-up for at least 6 months. Result: Early death rate was 1.4%, bleeding required reoperation 2.7%; postoperative pneumonia, acute kidney failure, cerebral stroke, peripheral occlusion, and permanent pacemaker were 13.5%, 18.9%, 4.2%, 2.8%, 1.4% respectively. Some risk factors before, perioperative and after surgery had no statistically significant impact on postoperative complications. The time of mechanical ventilation, intensive care stay, hospital stay and early postoperative complications did not differ between the group over 65 years old and the group under 65 years old. Conclusion: Aortic valve replacement through the 2nd intercostal space right anterior thoracotomy is a safe treatment method with low mortality and major adverse events. This technique can be effectively applied to elderly patients.
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References
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