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右前小切口开胸入路行主动脉瓣置换术

Right Anterior Minithoracotomy Approach for Aortic Valve Replacement.

作者信息

Fatehi Hassanabad Ali, King Melissa A, Karolak Wojtek, Dokollari Aleksander, Castejon Aizel, de Waard Dominique, Smith Holly N, Holloway Daniel D, Adams Corey, Kent William D T

机构信息

Section of Cardiac Surgery, Division of Cardiac Sciences, Libin Cardiovascular Institute, University of Calgary, AB, Canada.

Department of Cardiac Surgery, Medical University of Gdansk, Poland.

出版信息

Innovations (Phila). 2024 Sep-Oct;19(5):494-508. doi: 10.1177/15569845241276876. Epub 2024 Sep 21.

DOI:10.1177/15569845241276876
PMID:39305215
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11619196/
Abstract

By sparing the sternum, the right anterior minithoracotomy (RAMT) approach may facilitate a quicker functional recovery when compared with conventional aortic valve replacement (AVR). In the following review, outcomes after RAMT AVR are compared with full sternotomy AVR. The RAMT approach is described, including suggestions for patient selection. The application of the RAMT approach for other cardiac procedures is also discussed.

摘要

通过保留胸骨，与传统主动脉瓣置换术（AVR）相比，右前微创胸廓切开术（RAMT）入路可能有助于更快地恢复功能。在以下综述中，将RAMT AVR后的结果与全胸骨切开术AVR进行比较。描述了RAMT入路，包括患者选择建议。还讨论了RAMT入路在其他心脏手术中的应用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/943e/11619196/55ba89778333/10.1177_15569845241276876-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/943e/11619196/15bbf6378973/10.1177_15569845241276876-img2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/943e/11619196/5ae9616114c9/10.1177_15569845241276876-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/943e/11619196/fdfc24bb510c/10.1177_15569845241276876-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/943e/11619196/55ba89778333/10.1177_15569845241276876-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/943e/11619196/15bbf6378973/10.1177_15569845241276876-img2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/943e/11619196/5ae9616114c9/10.1177_15569845241276876-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/943e/11619196/fdfc24bb510c/10.1177_15569845241276876-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/943e/11619196/55ba89778333/10.1177_15569845241276876-fig3.jpg

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Acta Chir Belg. 2024 Feb;124(1):28-34. doi: 10.1080/00015458.2022.2152240. Epub 2022 Dec 1.
2
Surgical and transcatheter aortic valve replacement for severe aortic stenosis in low-risk elective patients: Analysis of the Aortic Valve Replacement in Elective Patients From the Aortic Valve Multicenter Registry.择期低危患者严重主动脉瓣狭窄行外科和经导管主动脉瓣置换术：主动脉瓣多中心注册研究中择期患者主动脉瓣置换分析。
J Thorac Cardiovasc Surg. 2024 May;167(5):1714-1723.e4. doi: 10.1016/j.jtcvs.2022.10.026. Epub 2022 Oct 28.
3
Minimally invasive versus conventional aortic valve replacement: The network meta-analysis.
微创与传统主动脉瓣置换术的比较：网状荟萃分析。
J Card Surg. 2022 Dec;37(12):4868-4874. doi: 10.1111/jocs.17126. Epub 2022 Nov 15.
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Comparing mini-sternotomy to full median sternotomy for aortic valve replacement with propensity-matching methods.采用倾向匹配法比较微创胸骨切开术与正中全胸骨切开术在主动脉瓣置换术中的应用。
Front Surg. 2022 Oct 10;9:972264. doi: 10.3389/fsurg.2022.972264. eCollection 2022.
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