Implante percutâneo de valva aórtica: mito ou realidade?

Saadi, Eduardo Keller

doi:10.1590/s0102-76382008000100014

Cited by 1 publication

(1 citation statement)

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“…Recently, in a review article, Saadi [23] discussed the development and application of new experimental techniques for the treatment of aortic stenosis in selected groups of patients (techniques such as percutaneous aortic valve implants and transapical implants through beating heart minithoracotomy). This new information is relevant, because in the future, we may discuss the differences within the evolutive phases of the postoperative period of the replacement valves cited in this study (among others), but implanted through new techniques.…”

Section: Discussionmentioning

confidence: 99%

Troca valvar aórtica com diferentes próteses: existem diferenças nos resultados da fase hospitalar?

Feguri

Macruz

Bulhões³

et al. 2008

Rev Bras Cir Cardiovasc

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Objective: To analyze intraoperative data and possible differences in clinical evolution during postoperative hospital phase for aortic valve replacement surgery using different types of prosthesis.Methods: Analysis of 60 patients divided into three groups. Valve replacement with bioprosthesis (20), mechanical prosthesis (20) and homologous valve (20). The mean age was 51.1, 60% were male and 40% female patients; 86.7 % were in NYHA II or III; 63.3% presented arterial hypertension and 18.3% had diabetes. Aetiology of valve disease was degenerative for 39%, rheumatic for 36% and endocardits for 15%.Results: The hospital mortality was 5%; there were no differences in the incidence of septical or cardiogenic shock, acute renal failure, rhythms disorders during surgery or intensive care, neither for total time in intensive care and mechanical ventilation. However, there was statistical differences as regards the cardiopulmonary bypass total time (P=0.02) and the aortic clamping time (P<0.0001) unfavorable to homograft valve group. The ward admission time was greater for mechanical valve group (P=0.05) as well as for total admission time, but without statistical significance. It was observed that patients with preoperative hematocrit smaller than 38.1% used 2.73 units of blood components, and with postoperative hematocrit smaller than 32% used 1,79 units of blood components. Echocardiography control showed minimal evolutional differences. Conclusion 535FEGURI, GR ET AL -Aortic valve replacement with different types of prosthesis. Are there differences in the outcomes during hospital phase? Bras Cir Cardiovasc 2008; 23(4): 534-541 Rev

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Section: Discussionmentioning

confidence: 99%