tailieunhanh - Báo cáo y học: "The right vertical infra-axillary incision for mitral valve replacement"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Wertheim cung cấp cho các bạn kiến thức về ngành y đề tài: The right vertical infra-axillary incision for mitral valve replacement. | Li et al. Journal of Cardiothoracic Surgery 2010 5 104 http content 5 1 104 JOTS JOURNAL OF CARDIOTHORACIC SURGERY RESEARCH ARTICLE Open Access The right vertical infra-axillary incision for mitral valve replacement Qing-guo Li Qiang Wang Dong-jin Wang Abstract Background As the physiologic results of valve surgery have improved dramatically in recent years the cosmetic effect of the procedure gains increased attention and various alternatives to the standard median sternotomy have been developed for mitral valve surgery. We report a new minimally invasive and cosmetic approach for mitral valve replacement. Methods From December 2003 to December 2009 the right vertical infra-axillary incision RVIAI was employed to perform mitral valve replacement in 256 patients. patients had replaced mechanical valve others were bioprosthetic valve at the same time patients received tricuspid valvuloplasty. Results There were one hospital death in this series due to multiple organ failure one reoperation for bleeding and one incision infection. Mean follow-up duration was months range 3 to 72 and follow-up rate was 94 . There were no paravalvular leaks or late death during the follow up. Conclusions The RVIAI can be performed with favorable cosmetic and clinical results. It provides a good alternative to standard median sternotomy for MVR in selected patients. Background As the physiologic results of valve surgery have improved dramatically in recent years perhaps only nonaesthetic scarring is all that remains to be improved regarding mitral valve surgery and its follow-up. Therefore the cosmetic effect of the procedure gains increased attention and various alternatives with favorable clinical results to the standard median sternotomy have been developed for mitral valve surgery that can avoid the characteristic unsightly long midline scar 1-7 . Right vertical infra-axillary incision RVIAI has been used for repair of atrial septal .