RT Journal Article
SR Electronic
T1 39 Ministernotomy for aortic valve replacement- is it safe and effective?
JF Heart
JO Heart
FD BMJ Publishing Group Ltd and British Cardiovascular Society
SP A21
OP A21
DO 10.1136/heartjnl-2016-310523.39
VO 102
IS Suppl 9
A1 E Ryan
A1 S Bargenda
A1 N El-Tayeb
A1 J Hurley
A1 J McCarthy
YR 2016
UL http://heart.bmj.com/content/102/Suppl_9/A21.2.abstract
AB Background Surgical aortic valve replacement has been shown to be an extremely safe and effective operation. In order to reduce patient morbidity, we recently commenced a ministernotomy approach to the aortic valve.Methods Between 2012 and the present 90 aortic valve replacements have been performed using this less invasive technique. Age ranged from 33 to 87 years. The technique involved partial sternotomy of 7–8 cm with a ‘J’ to the left. Cardiopulmonary bypass was established with low profile cannulae, and the replacement of the aortic valve proceeded with a standard surgical technique in 82 patients and with a sutureless rapid deployment valve in 6 patients.Results 30 day mortality was 0%, 4 patients required conversion to full sternotomy. One patient had reoperation for bleeding post surgery. All patients were discharged well.Conclusions Aortic valve replacement via a ministernotomy is a safe and effective procedure.