García Nora, Bermúdez Aníbal, Martín Mª Ángeles, Carmona Carmen, Jaén Cristina, Daroca Tomás
Servicio Cirugía Cardiovascular, Hospital Puerta del Mar, Cádiz, España.
Arch Cardiol Mex. 2020 Aug 5;91(3):321-326. doi: 10.24875/ACM.20000171.
Symptomatic severe aortic stenosis is the most prevalent surgical pathology in cardiac surgery, and its isolated replacement has historically been performed by means of complete middle sternotomy. However, a great revolution has recently taken place, especially after the arrival of sutureless aortic prostheses that, together with a new impulse by cardiac surgery towards a less invasive course, has caused the replacement of said valve to be carried out more and more frequently due to these prostheses and minor access incisions. For this reason, we carried out a review of the cases operated on in our service from the beginning of the minimum access surgery program, comparing them with the results of the cases operated at the same time using conventional surgery.
有症状的重度主动脉瓣狭窄是心脏外科手术中最常见的手术病理情况，其单纯置换术历来通过完全正中胸骨切开术进行。然而，最近发生了一场重大变革，尤其是在无缝合主动脉假体出现之后，再加上心脏外科手术朝着微创方向发展的新趋势，由于这些假体和较小的切口，该瓣膜置换术的实施频率越来越高。因此，我们对我们科室自最小切口手术项目启动以来所进行的病例进行了回顾，并将其与同期采用传统手术的病例结果进行了比较。
