Minimally Invasive Video-assisted Mitral Valve Replacement with a Right Chest Small Incision in Patients Aged Over 65 Years
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| Natura: | Artículo científico |
| Lingua: | en |
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Sociedade Brasileira de Cirurgia Cardiovascular
2019
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| _version_ | 1876464662292201472 |
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| author | Qiang Chen |
| author_facet | Qiang Chen |
| contents | Minimally Invasive Video-assisted Mitral Valve Replacement with a Right Chest Small Incision in Patients Aged Over 65 Years Qiang Chen Ling-Li Yu Qi-Liang Zhang Hua Cao Liang-Wan Chen Zhong-Yao Huang Medicina Thoracotomy Mitral Valve Pneumothorax Length of Stay Heart Valve Diseases Objective: To analyze and summarize the clinical safety and feasibility of minimally invasive video-assisted mitral valve replacement via a right thoracic minimal incision in patients aged over 65 years.Methods: The clinical data of 45 patients over 65 years old who had mitral valve disease were analyzed retrospectively from January 2014 to January 2017 at Union Hospital, Fujian Medical University. The patients were divided into two groups; 20 patients in group A, who underwent minimally invasive video-assisted mitral valve replacement via a right thoracic minimal incision, and 25 patients in group B, who underwent conventional mitral valve replacement. We collected and analyzed their relevant clinical data.Results: The operation was completed successfully in both groups. Compared with group B, group A was clearly superior for postoperative analgesia time, postoperative hospital length of stay, thoracic drainage liquid, blood transfusion, and length of incision. There were no differences between the two groups in postoperative severe complications and mortality. More patients in group B had pulmonary infections and poor incision healing, while more patients in group A had postoperative pneumothorax and subcutaneous emphysema.Conclusion: In patients aged over 65 years, minimally invasive video-assisted mitral valve replacement with a small incision in the right chest had the same clinical safety and efficacy as the conventional method. 2019 artículo científico 0102-7638 https://www.redalyc.org/articulo.oa?id=398966769010 https://www.redalyc.org/journal/3989/398966769010/ https://www.redalyc.org/journal/3989/398966769010/html/ https://www.redalyc.org/journal/3989/398966769010/398966769010.epub https://www.redalyc.org/journal/3989/398966769010/movil 10.21470/1678-9741-2018-0409 en http://www.redalyc.org/revista.oa?id=3989 Revista Brasileira de Cirurgia Cardiovascular/Brazilian Journal of Cardiovascular Surgery application/pdf Sociedade Brasileira de Cirurgia Cardiovascular Revista Brasileira de Cirurgia Cardiovascular/Brazilian Journal of Cardiovascular Surgery (Brasil) Num.4 Vol.34 |
| format | Artículo científico |
| id | redalyc_398966769010 |
| institution | Redalyc |
| language | en |
| publishDate | 2019 |
| publisher | Sociedade Brasileira de Cirurgia Cardiovascular |
| spellingShingle | Minimally Invasive Video-assisted Mitral Valve Replacement with a Right Chest Small Incision in Patients Aged Over 65 Years Qiang Chen Medicina Thoracotomy Mitral Valve Pneumothorax Length of Stay Heart Valve Diseases Minimally Invasive Video-assisted Mitral Valve Replacement with a Right Chest Small Incision in Patients Aged Over 65 Years Qiang Chen Ling-Li Yu Qi-Liang Zhang Hua Cao Liang-Wan Chen Zhong-Yao Huang Medicina Thoracotomy Mitral Valve Pneumothorax Length of Stay Heart Valve Diseases Objective: To analyze and summarize the clinical safety and feasibility of minimally invasive video-assisted mitral valve replacement via a right thoracic minimal incision in patients aged over 65 years.Methods: The clinical data of 45 patients over 65 years old who had mitral valve disease were analyzed retrospectively from January 2014 to January 2017 at Union Hospital, Fujian Medical University. The patients were divided into two groups; 20 patients in group A, who underwent minimally invasive video-assisted mitral valve replacement via a right thoracic minimal incision, and 25 patients in group B, who underwent conventional mitral valve replacement. We collected and analyzed their relevant clinical data.Results: The operation was completed successfully in both groups. Compared with group B, group A was clearly superior for postoperative analgesia time, postoperative hospital length of stay, thoracic drainage liquid, blood transfusion, and length of incision. There were no differences between the two groups in postoperative severe complications and mortality. More patients in group B had pulmonary infections and poor incision healing, while more patients in group A had postoperative pneumothorax and subcutaneous emphysema.Conclusion: In patients aged over 65 years, minimally invasive video-assisted mitral valve replacement with a small incision in the right chest had the same clinical safety and efficacy as the conventional method. 2019 artículo científico 0102-7638 https://www.redalyc.org/articulo.oa?id=398966769010 https://www.redalyc.org/journal/3989/398966769010/ https://www.redalyc.org/journal/3989/398966769010/html/ https://www.redalyc.org/journal/3989/398966769010/398966769010.epub https://www.redalyc.org/journal/3989/398966769010/movil 10.21470/1678-9741-2018-0409 en http://www.redalyc.org/revista.oa?id=3989 Revista Brasileira de Cirurgia Cardiovascular/Brazilian Journal of Cardiovascular Surgery application/pdf Sociedade Brasileira de Cirurgia Cardiovascular Revista Brasileira de Cirurgia Cardiovascular/Brazilian Journal of Cardiovascular Surgery (Brasil) Num.4 Vol.34 |
| title | Minimally Invasive Video-assisted Mitral Valve Replacement with a Right Chest Small Incision in Patients Aged Over 65 Years |
| topic | Medicina Thoracotomy Mitral Valve Pneumothorax Length of Stay Heart Valve Diseases |
| url | https://www.redalyc.org/articulo.oa?id=398966769010 https://www.redalyc.org/journal/3989/398966769010/ https://www.redalyc.org/journal/3989/398966769010/html/ https://www.redalyc.org/journal/3989/398966769010/398966769010.epub https://www.redalyc.org/journal/3989/398966769010/movil |