A totally endoscopic approach for aortic valve surgery

Alaaddin Yilmaz; Silke Van Genechten; Jade Claessens; Loren Packlé; Jos Maessen; Abdullah Kaya

doi:10.1093/ejcts/ezac467

A totally endoscopic approach for aortic valve surgery

Alaaddin Yilmaz^*, Silke Van Genechten, Jade Claessens, Loren Packlé, Jos Maessen, Abdullah Kaya

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-review

Abstract

OBJECTIVE: A new approach for totally endoscopic aortic valve replacement is described.

METHODS: From October 2017 through December 2020, 266 consecutive patients underwent totally endoscopic aortic valve replacement. Reoperations and combinations were excluded.

RESULTS: A total of 266 patients with a median age of 72 [64, 79] years underwent totally endoscopic aortic valve replacement, of which 250 (93.98%) patients were indicated to undergo surgery because of aortic valve stenosis. The median follow-up index was 0.69 (0.30, 0.90). Major adverse cardiac and cerebrovascular events occurred in four (1.50%) patients within 30 days. Overall hospital mortality was 1.50%. Twenty additional deaths (7.52%) occurred during the three-year follow-up. An early thoracoscopic revision was needed in seven patients due to signs of bleeding or cardiac tamponade. Fourteen patients required permanent pacemaker implantation.

CONCLUSIONS: Retrospective analysis of our early experience with totally endoscopic aortic valve replacement in 266 consecutive patients demonstrated satisfactory results, with low mortality and acceptable morbidity rates.

Original language	English
Article number	ezac467
Number of pages	8
Journal	European Journal of Cardio-Thoracic Surgery
Volume	62
Issue number	6
Early online date	27 Sept 2022
DOIs	https://doi.org/10.1093/ejcts/ezac467
Publication status	Published - 3 Nov 2022

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10.1093/ejcts/ezac467

Cite this

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title = "A totally endoscopic approach for aortic valve surgery",

abstract = "OBJECTIVE: A new approach for totally endoscopic aortic valve replacement is described.METHODS: From October 2017 through December 2020, 266 consecutive patients underwent totally endoscopic aortic valve replacement. Reoperations and combinations were excluded.RESULTS: A total of 266 patients with a median age of 72 [64, 79] years underwent totally endoscopic aortic valve replacement, of which 250 (93.98%) patients were indicated to undergo surgery because of aortic valve stenosis. The median follow-up index was 0.69 (0.30, 0.90). Major adverse cardiac and cerebrovascular events occurred in four (1.50%) patients within 30 days. Overall hospital mortality was 1.50%. Twenty additional deaths (7.52%) occurred during the three-year follow-up. An early thoracoscopic revision was needed in seven patients due to signs of bleeding or cardiac tamponade. Fourteen patients required permanent pacemaker implantation.CONCLUSIONS: Retrospective analysis of our early experience with totally endoscopic aortic valve replacement in 266 consecutive patients demonstrated satisfactory results, with low mortality and acceptable morbidity rates.",

author = "Alaaddin Yilmaz and {Van Genechten}, Silke and Jade Claessens and Loren Packl{\'e} and Jos Maessen and Abdullah Kaya",

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T1 - A totally endoscopic approach for aortic valve surgery

AU - Yilmaz, Alaaddin

AU - Van Genechten, Silke

AU - Claessens, Jade

AU - Packlé, Loren

AU - Maessen, Jos

AU - Kaya, Abdullah

PY - 2022/11/3

Y1 - 2022/11/3

N2 - OBJECTIVE: A new approach for totally endoscopic aortic valve replacement is described.METHODS: From October 2017 through December 2020, 266 consecutive patients underwent totally endoscopic aortic valve replacement. Reoperations and combinations were excluded.RESULTS: A total of 266 patients with a median age of 72 [64, 79] years underwent totally endoscopic aortic valve replacement, of which 250 (93.98%) patients were indicated to undergo surgery because of aortic valve stenosis. The median follow-up index was 0.69 (0.30, 0.90). Major adverse cardiac and cerebrovascular events occurred in four (1.50%) patients within 30 days. Overall hospital mortality was 1.50%. Twenty additional deaths (7.52%) occurred during the three-year follow-up. An early thoracoscopic revision was needed in seven patients due to signs of bleeding or cardiac tamponade. Fourteen patients required permanent pacemaker implantation.CONCLUSIONS: Retrospective analysis of our early experience with totally endoscopic aortic valve replacement in 266 consecutive patients demonstrated satisfactory results, with low mortality and acceptable morbidity rates.

AB - OBJECTIVE: A new approach for totally endoscopic aortic valve replacement is described.METHODS: From October 2017 through December 2020, 266 consecutive patients underwent totally endoscopic aortic valve replacement. Reoperations and combinations were excluded.RESULTS: A total of 266 patients with a median age of 72 [64, 79] years underwent totally endoscopic aortic valve replacement, of which 250 (93.98%) patients were indicated to undergo surgery because of aortic valve stenosis. The median follow-up index was 0.69 (0.30, 0.90). Major adverse cardiac and cerebrovascular events occurred in four (1.50%) patients within 30 days. Overall hospital mortality was 1.50%. Twenty additional deaths (7.52%) occurred during the three-year follow-up. An early thoracoscopic revision was needed in seven patients due to signs of bleeding or cardiac tamponade. Fourteen patients required permanent pacemaker implantation.CONCLUSIONS: Retrospective analysis of our early experience with totally endoscopic aortic valve replacement in 266 consecutive patients demonstrated satisfactory results, with low mortality and acceptable morbidity rates.

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