Tesi etd-09242019-173413
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Tipo di tesi
Master univ. II liv.
Autore
GARGIULO, RAFFAELE
URN
etd-09242019-173413
Titolo
Minimally invasive approach to aortic root surgery
Scientific disciplinary sector
SPS/04
Corso di studi
Innovation in Cardiac Surgery: Advances in Minimally Invasive Therapeutics
Commissione
relatore Prof. PASSINO, CLAUDIO
Tutor Dott. SOLINAS, MARCO
Tutor Dott. SOLINAS, MARCO
Parole chiave
- mini-Bentall
- minimally invasive cardiac surgery
- valve-sparing
Data inizio appello
31/10/2019;
Disponibilità
completa
Riassunto analitico
The surgical treatment of aortic root diseases is traditionally performed through a median sternotomy. Aortic root replacement with a valved-conduit, either mechanical or biologic, and aortic root reconstruction with the reimplantation of the aortic valve are the most performed operations in the clinical practice. Minimally invasive approach to this kind of technically complex surgery has evolved from isolated aortic valve surgery and is growing in popularity, as the minimal access techniques are constantly refined. Minimally invasive aortic root surgery seems to be feasible and safe either through an upper sternotomy or through a right minithoracotomy; it is moreover associated, when compared with traditional surgery, with shortened cardiopulmonary bypass time, reduced rates of reoperations for bleeding, shorter intensive care unit and hospital length of stay, but the overall quality of all evidence is very low. More consistent and randomized data are required, but minimally invasive procedures can be already considered as a valid alternative to traditional aortic root surgery.
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