scholarly journals A Case of Aortic Valve Replacement through Right Anterior Mini-thoracotomy in a Patient with a History of Mediastinal Abscess

2021 ◽  
Vol 50 (6) ◽  
pp. 383-386
Author(s):  
Shuto Tonoki ◽  
Hiroaki Takahashi ◽  
Yasuko Gotake ◽  
Takaki Sugimoto
Keyword(s):  
Aortic Valve ◽  
Aortic Valve Replacement ◽  
Valve Replacement ◽  
Mediastinal Abscess ◽  
History Of ◽  
Mini Thoracotomy

scholarly journals Cerebral microemboli in mini-sternotomy compared to mini- thoracotomy for aortic valve replacement: a cross sectional cohort study

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Marija Bozhinovska ◽  
Matej Jenko ◽  
Gordana Taleska Stupica ◽  
Tomislav Klokočovnik ◽  
Juš Kšela ◽  
...  
Keyword(s):  
Cardiopulmonary Bypass ◽  
Aortic Valve ◽  
Aortic Valve Replacement ◽  
Valve Replacement ◽  
Surgical Techniques ◽  
Aortic Valve Area ◽  
Link Type ◽  
Microembolic Signal ◽  
Mini Thoracotomy ◽  
Addenbrooke’S Cognitive Examination

Abstract Background Recently adopted mini-thoracotomy approach for surgical aortic valve replacement has shown benefits such as reduced pain and shorter recovery, compared to more conventional mini-sternotomy access. However, whether limited exposure of the heart and ascending aorta resulting from an incision in the second intercostal space may lead to increased intraoperative cerebral embolization and more prominent postoperative neurologic decline, remains inconclusive. The aim of our study was to assess potential neurological complications after two different minimal invasive surgical techniques for aortic valve replacement by measuring cerebral microembolic signal during surgery and by follow-up cognitive evaluation. Methods Trans-cranial Doppler was used for microembolic signal detection during aortic valve replacement performed via mini-sternotomy and mini-thoracotomy. Patients were evaluated using Addenbrooke’s Cognitive Examination Revised Test before and 30 days after surgical procedure. Results A total of 60 patients were recruited in the study. In 52 patients, transcranial Doppler was feasible. Of those, 25 underwent mini-sternotomy and 27 had mini-thoracotomy. There were no differences between groups with respect to sex, NYHA class distribution, Euroscore II or aortic valve area. Patients in mini-sternotomy group were younger (60.8 ± 14.4 vs.72 ± 5.84, p = 0.003), heavier (85.2 ± 12.4 vs.72.5 ± 12.9, p = 0.002) and had higher body surface area (1.98 ± 0.167 vs. 1.83 ± 0.178, p = 0.006). Surgery duration was longer in mini-sternotomy group compared to mini-thoracotomy (158 ± 24 vs. 134 ± 30 min, p < 0.001, respectively). There were no differences between groups in microembolic load, length of ICU or total hospital stay. Total microembolic signals count was correlated with cardiopulmonary bypass duration (5.64, 95%CI 0.677–10.60, p = 0.027). Addenbrooke’s Cognitive Examination Revised Test score decreased equivalently in both groups (p = 0.630) (MS: 85.2 ± 9.6 vs. 82.9 ± 11.4, p = 0.012; MT: 85.2 ± 9.6 vs. 81.3 ± 8.8, p = 0.001). Conclusion There is no difference in microembolic load between the groups. Total intraoperative microembolic signals count was associated with cardiopulmonary bypass duration. Age, but not micorembolic signals load, was associated with postoperative neurologic decline. Trial registry number clinicaltrials.gov, NCT02697786 14.

scholarly journals Left Ventricular Outflow Tract Pseudoaneurysm after Aortic Valve Replacement

Aorta ◽  
2015 ◽  
Vol 03 (05) ◽  
pp. 167-171 ◽  
Author(s):  
Masood Shariff ◽  
Daniel Martingano ◽  
Usman Khan ◽  
Nikhil Goyal ◽  
Raman Sharma ◽  
...  
Keyword(s):  
Aortic Valve ◽  
Aortic Valve Replacement ◽  
Valve Replacement ◽  
Left Ventricular Outflow Tract ◽  
Ventricular Outflow Tract ◽  
Left Ventricular ◽  
Outflow Tract ◽  
Lower Extremity Weakness ◽  
Left Ventricular Outflow ◽  
History Of

AbstractLeft ventricular outflow tract pseudoaneurysm is an uncommon complication following aortic valve replacement (AVR), occurring most frequently secondary to endocarditis. We present a case of a 47-year-old female with a history of intravenous drug abuse and a past surgical history of two AVRs (2001 and 2009 with aortic root replacement for endocarditis) who presented with symptoms of lower extremity weakness. Subsequent radiologic imaging revealed the presence of a left ventricular outflow tract pseudoaneurysm, which was surgically managed with a homologous conduit.

Bioprosthetic aortic valve haemodynamic deterioration secondary to a thrombus

2020 ◽  
Vol 13 (9) ◽  
pp. e233400
Author(s):  
Martin A Chacon-Portillo ◽  
Bishnu Dhakal ◽  
Rajesh Janardhanan
Keyword(s):  
Aortic Valve ◽  
Aortic Valve Replacement ◽  
Valve Replacement ◽  
Severe Aortic Stenosis ◽  
Artery Bypass ◽  
Shortness Of Breath ◽  
Coronary Angiogram ◽  
Surgical Aortic Valve Replacement ◽  
History Of ◽  
Root Size

A 77-year-old man with a history of coronary artery bypass grafting and surgical aortic valve replacement for severe aortic stenosis 2 years prior presented with exertional chest pain and shortness of breath. The patient underwent a thorough initial evaluation including a transthoracic echocardiogram and coronary angiogram without significant findings. One month later the patient presented with worsened symptoms and a repeat echocardiogram showed an increased mean aortic valve gradient of 87 mm Hg. The patient had to undergo reoperation for a surgical aortic valve replacement and was found to have an aortic bioprosthetic valve thrombus. This case suggests a mismatch between the aortic prosthesis and the patient’s aortic root size.

scholarly journals Right anterior mini-thoracotomy vs. conventional sternotomy for aortic valve replacement: a propensity-matched comparison

2018 ◽  
Vol 10 (3) ◽  
pp. 1588-1595 ◽  
Author(s):  
Mauro Del Giglio ◽  
Elisa Mikus ◽  
Roberto Nerla ◽  
Antonio Micari ◽  
Simone Calvi ◽  
...  
Keyword(s):  
Aortic Valve ◽  
Aortic Valve Replacement ◽  
Valve Replacement ◽  
Matched Comparison ◽  
Mini Thoracotomy

scholarly journals Epicardial radiofrequency ablation and aortic valve replacement through right mini-thoracotomy

2010 ◽  
Vol 11 (1) ◽  
pp. 1-2 ◽  
Author(s):  
Stefano Bevilacqua ◽  
Alfredo Giuseppe Cerillo ◽  
Marco Solinas ◽  
Mattia Glauber
Keyword(s):  
Radiofrequency Ablation ◽  
Aortic Valve ◽  
Aortic Valve Replacement ◽  
Valve Replacement ◽  
Mini Thoracotomy

scholarly journals Mycobacterium chimaera Infection After Aortic Valve Replacement Presenting With Aortic Dissection and Pseudoaneurysm

2018 ◽  
Vol 5 (2) ◽  
Author(s):  
C R O’Neil ◽  
G Taylor ◽  
S Smith ◽  
A M Joffe ◽  
K Antonation ◽  
...  
Keyword(s):  
Aortic Valve ◽  
Aortic Dissection ◽  
Aortic Valve Replacement ◽  
Valve Replacement ◽  
Cardiovascular Surgery ◽  
Past History ◽  
Late Complication ◽  
History Of

Abstract We present a case of Mycobacterium chimaera infection presenting with aortic dissection and pseudoaneuysm in a 22-year-old man with a past history of aortic valve replacement. Clinicians should consider M. chimaera infection in those presenting with aortic dissection as a late complication of cardiovascular surgery.

scholarly journals TRANSCATHETER VERSUS SURGICAL AORTIC VALVE REPLACEMENT IN PATIENTS WITH PRIOR HISTORY OF CHEST RADIATION

2016 ◽  
Vol 67 (13) ◽  
pp. 175
Author(s):  
Akhil Parashar ◽  
Karan Sud ◽  
Karim A. Rehman ◽  
Shikhar Agarwal ◽  
Eugene Blackstone ◽  
...  
Keyword(s):  
Aortic Valve ◽  
Aortic Valve Replacement ◽  
Valve Replacement ◽  
Prior History ◽  
Surgical Aortic Valve Replacement ◽  
History Of

scholarly journals 014 * RIGHT ANTERIOR MINI-THORACOTOMY FOR ISOLATED AORTIC VALVE REPLACEMENT: TEN-YEAR EXPERIENCE IN 484 PATIENTS

2014 ◽  
Vol 19 (suppl 1) ◽  
pp. S5-S5 ◽  
Author(s):  
M. Glauber ◽  
D. S. Gilmanov ◽  
A. Miceli ◽  
P. A. Farneti ◽  
M. Ferrarini ◽  
...  
Keyword(s):  
Aortic Valve ◽  
Aortic Valve Replacement ◽  
Valve Replacement ◽  
Mini Thoracotomy
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