Mini-Thoracotomy Access Reduces the Incidence of Postoperative Atrial Fibrillation after Aortic Valve Replacement
نویسندگان
چکیده
Background/Introduction Aortic valve replacement (AVR) is the current gold standard treatment for aortic stenosis. In the last 15 years popularity for minimally invasive (MI) AVR has grown exponentially. The most common techniques for MI-AVR are a partial sternotomy (PS) or a mini-thoracotomy (MT). Although MI access is technically more challenging and results in longer cross clamp and cardiopulmonary bypass times, MI has resulted in superior outcomes. Many publications have reported reduced postoperative pain, surgical trauma, blood loss, transfusion requirements, ventilation times, hospital stay with also earlier functional recovery and better cosmesis. Reductions in the incidence of postoperative atrial fibrillation (POAF) have also been shown.
منابع مشابه
Transoesophageal echocardiography for prediction of postoperative atrial fibrillation after isolated aortic valve replacement: two-dimensional speckle tracking for intraoperative assessment of left ventricular longitudinal strain.
OBJECTIVES Recent studies suggested association between impaired left ventricular long-axis function and arrhythmic events early after open heart surgery. This prospective study investigated the predictive value of a depressed intraoperative global longitudinal strain (GLS) for postoperative atrial fibrillation after isolated aortic valve replacement in patients with preserved ejection fraction...
متن کاملNon-sutureless minimally invasive aortic valve replacement: mini-sternotomy versus mini-thoracotomy: a series of 1130 patients.
OBJECTIVES Aortic valve replacement through conventional sternotomy still represents the gold-standard surgical approach for aortic valve disease. However, given the increasing number of patients with comorbidities, strategies that can improve operative results are always sought. Minimally invasive aortic valve surgery, although related to a steep learning curve, might be associated with improv...
متن کاملSutureless bioprosthesis may increase postoperative atrial fibrillation after aortic valve replacement
Background/Introduction Benefits of sutureless aortic valve replacement (AVR) have been established. Most western centres have reported advantages in reduced cardiopulmonary bypass, cross clamp, ventilation, and postoperative recovery time. It has established a role in moderate to high-risk surgical patients requiring an AVR. However, the incidence of postoperative atrial fibrillation (POAF) in...
متن کاملDirect transaortic access for transcatheter aortic valve implantations with the self-expanding CoreValve® prosthesis: a series of 2 cases.
In patients with severe aortic stenosis and high surgical risk, transcatheter aortic valve implantation is a safe and effective treatment option. Two devices are available for this purpose, the CoreValve from Medtronic and SAPIEN from Edwards Lifesciences. In cases with a poor vascular access (usually patients with a high EuroSCORE, who experience greater mortality and complications), the trans...
متن کاملAtrial pacing for the prevention of atrial fibrillation after cardiovascular surgery.
OBJECTIVE The purpose of this study was to determine the efficacy of atrial pacing in the prevention of atrial fibrillation following cardiovascular surgery. BACKGROUND Although pharmacologic therapy has been used to help prevent postoperative atrial fibrillation, it suffers from limited efficacy and adverse effects. In the nonoperative setting, novel pacing strategies have been shown to redu...
متن کامل