Abstract
Material and methods. From March 2001 to January 2020, 376 surgical interventions were performed in the Department of Emergency Surgery of Acquired Heart Defects of the Bakoulev National Medical Research Center for Cardiovascular Surgery for aortic valve damage using the upper "J-shaped" ministernotomy. The study included 76 patients over 70 years of age. The average age is 77.3 ± 2.6 (70–88 years). All operations were performed under conditions of hypothermic artificial blood circulation (26–30 °C).
Results. Isolated primary aortic valve replacement was performed in 59 patients, reprosthetics-6, aortic valve replacement after coronary artery bypass grafting – 2, Bentall–de Bono – 4, aortic valve replacement and Morrow myectomy – 3, aortic valve replacements after TAVI – 1, aortic valve replacement after mitral valve replacement – 1. Hospital mortality rate of 6 (7.9%) patients. Mortality was not associated with the sternotomy method.
Conclusion. The advantages of sternotomy can be considered as a reduction in the risk of deep wound infection, the absence of the need to perform traumatic isolation of the heart from the adhesions in the conditions of an early complete sternotomy, faster physical activation of patients by reducing pain in the postoperative wound area, as well as rapid recovery of respiratory mechanics and a reduction in inpatient bed/day.
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About the authors
- Ravil’ M. Muratov, Dr. Med. Sc., Professor, Head of Department, ORCID
- Svetlana I. Babenko, Dr. Med. Sc., Senior Researcher, ORCID
- Amirbek Sh. Midinov, Cand. Med. Sc., Cardiovascular Surgeon
- Dmitriy A. Titov, Cand. Med. Sc., Researcher, ORCID
- Murodillokhon A. Salokhiddinov, Cardiovascular Surgeon
