Berretta Paolo, Cefarelli Mariano, Vessella Walter, Pierri Michele D, Carozza Roberto, Abramucci Giulia, Munch Christopher, Zahedi Hossein M, Di Eusanio Marco
Cardiac Surgery Unit, Ospedali Riuniti, Polytechnic University of Marche, Ancona, Italy.
Cardiac Anaesthesia and Intensive Care Unit, Ospedali Riuniti, Ancona, Italy.
J Vis Surg. 2018 May 8;4:90. doi: 10.21037/jovs.2018.04.14. eCollection 2018.
Aortic valve surgery has been undergone continuous development over the last years, involving less invasive techniques and the use of new technologies to reduce the traumatic impact of the intervention and extend the operability toward increasingly high-risk patients. Minimally invasive aortic valve replacement (AVR) has gradually been recognized as a less traumatic technique compared to median sternotomy, becoming first choice approach in numerous experienced centers. Herein we present our multidisciplinary minimally invasive approach for AVR, involving: (I) reduced chest incision; (II) rapid deployment AVR; (III) minimally invasive extracorporeal circulation system; and (IV) ultra fast track (UFT) anaesthetic management.
在过去几年中，主动脉瓣手术不断发展，涉及微创技术以及使用新技术以减少干预的创伤影响，并将可操作性扩展至越来越多的高风险患者。与正中开胸术相比，微创主动脉瓣置换术（AVR）已逐渐被认为是一种创伤较小的技术，在许多经验丰富的中心成为首选方法。在此，我们介绍我们用于AVR的多学科微创方法，包括：（I）缩小胸部切口；（II）快速植入AVR；（III）微创体外循环系统；以及（IV）超快通道（UFT）麻醉管理。
