Eearly outcomes of totally thoracoscopic minimally invasive aortic valve and double valve replacement
- VernacularTitle:全胸腔镜微创主动脉瓣及双瓣置换术的早期结果
- Author:
Zhenzhong WANG
1
;
Yanchen YANG
1
;
Huanlei HUANG
2
,
3
,
4
;
Lishan ZHONG
4
,
5
;
Chengnan TIAN
6
;
Zerui CHEN
4
,
5
;
Biaochuan HE
4
,
5
;
Xin ZANG
4
,
5
;
Junfei ZHAO
4
,
5
;
Huiming GUO
4
,
5
Author Information
1. South China University of Technology School of Medicine, Guangzhou, 510006, P. R. China
2. 1. South China University of Technology School of Medicine, Guangzhou, 510006, P. R. China
3. 2.Department of Cardiovascular Surgery, Guangdong Cardiovascular Institute, Guangdong Provincial People&rsquo
4. s Hospital, Guangdong Academy of Medical Sciences, Guangzhou, 510080, P. R. China
5. Department of Cardiovascular Surgery, Guangdong Cardiovascular Institute, Guangdong Provincial People&rsquo
6. The Second School of Clinical Medicine, Southern Medical University, Guangzhou, 510515, P. R. China
- Publication Type:Journal Article
- Keywords:
Total thoracoscopy;
minimally invasive cardiac surgery;
aortic valve replacement;
double valve replacement
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2023;30(05):710-717
- CountryChina
- Language:Chinese
-
Abstract:
Objective To summarize the early outcomes of totally thoracoscopic minimally invasive aortic valve replacement (AVR) and double valve replacement (DVR). Methods The clinical data of patients who underwent totally thoracoscopic minimally invasive AVR or DVR in Guangdong Provincial People’s Hospital from April 2020 to January 2021 were retrospectively analyzed. The patients were divided into an AVR group and a DVR group according to the surgical method, and the clinical data of the two groups were compared. Results Finally 22 patients were enrolled, including 14 males and 8 females with an average age of 50.0±11.2 years at operation. Eight patients were degenerative disease, 8 were rheumatic heart disease combined with valvular disease, and 6 were bicuspid aortic valve. Out of the 22 patients, 16 underwent AVR alone, and 6 underwent DVR. All patients completed the operation successfully, and there was no death. Perivalvular leakage during surgery occurred in 2 patients. The average cardiopulmonary bypass time was 187.0±39.9 minutes, and aortic cross-clamping time was 117.0 (99.0, 158.0) minutes. Duration of mechanical ventilation and intensive care unit stay was 9.5 (4.8, 18.3) hours and 41.0 (34.0, 64.0) hours, respectively. The volume of chest drainage at the first 24 hours after surgery was 214.0±124.6 mL, and the postoperative hospital stay was 5.5 (4.0, 8.3) days. The cardiopulmonary bypass time and aortic cross-clamping time in the DVR group were longer than those in the AVR group, and the volume of chest drainage at 24 hours after surgery was more than that in the AVR group, with a statistical difference (P<0.05). Echocardiography before hospital discharge showed paravalvular leakage in 1 patient. There was no death during follow-up of 5.9±3.0 months. Conclusion The early outcome of totally thoracoscopic minimally invasive AVR and DVR is satisfactory, and the approach of surgery is worth exploring.
