Fatih ÖZTÜRK, Taylan ADADEMİR, Veysel BAŞAR, Osman TÜRE, Davut ÇEKMECELİOĞLU, Mehmet ŞENGÖR, Hızır Mete ALP

Aort Kapak Replasmanı Cerrahisinde Dikişsiz Kapaklar ile Konvansiyonel Kapakların Perioperatif Sonuçlarının Karşılaştırılması

Giriş: Bu çalışmanın amacı, aort kapak darlığı nedeniyle aort kapak replasmanı (AVR) uygulanan hastalarda dikişsiz ve konvansiyonel biyoprotez kapakların erken ve orta dönem sonuçlarını değerlendirmektir. Hastalar ve Yöntem: Çalışmaya kliniğimizde 2012-2017 yılları arasında aort darlığı nedeniyle biyoprotez AVR uygulanan hastalar dahil edildi. Hastalar kullanılan aort kapak protez tipine göre dikişsiz kapak (n= 62) ve konvansiyonel kapak (n= 69) olarak iki gruba ayrıldı. Bulgular: EuroSCORE II dikişsiz grupta konvansiyonel gruba göre anlamlı derecede yüksek olarak hesaplanmıştır (p= 0.0121). Mini insizyonel yaklaşım dikişsiz grupta 22 (%36) hastaya uygulanmışken, konvansiyonel grupta 4 (%6) hastaya uygulanmıştır (p= 0.0002). Ortalama aortik kros klemp ve kardiyopulmoner baypas süreleri dikişsiz grupta konvansiyonel gruba göre anlamlı olarak daha düşük bulunmuştur (53.8 ± 34.2’ye karşı 79.2 ± 36.3 dk ve 87.5 ± 40.7’ye karşı 117.4 ± 66.3 dk, p

Anahtar Kelimeler:

Aort darlığı, aort kapak replasmanı, dikişsiz aort kapak

Comparison of Perioperative Results of Sutureless and Conventional Valves in Aortic Valve Replacement Surgery

Introduction: This study aimed to evaluate the early and midterm results of sutureless and conventional bioprosthetic valves in patients who underwent aortic valve replacement (AVR) due to aortic stenosis. Patients and Methods: Patients who underwent a bioprosthetic AVR due to aortic stenosis in our institution between 2012 and 2017 were included in our study. The patients were divided into two groups on the basis of type of aortic valve prosthesis used as a sutureless valve (SU-AVR) (n= 62) and a conventional valve (CAVR) (n= 69). Results: The EuroSCORE II in the sutureless group was found to be significantly higher as compared to the conventional group (p= 0.0121). Patients in the sutureless group underwent more mini-incisional approaches: 22 (36%) versus 4 (6%, p= 0.0002). The mean aortic cross-clamp and cardiopulmonary bypass time were significantly lower in the sutureless group as compared to the conventional one (53.8 ± 34.2 vs. 79.2 ± 36.3 minutes and 87.5 ± 40.7 vs. 117.4 ± 66.3 minutes, p

Keywords:

Aortic stenosis, aortic valve replacement (AVR), sutureless aortic valve,

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ISSN: 2149-2972
Yayın Aralığı: Yılda 3 Sayı
Başlangıç: 1990
Yayıncı: Sağlık Bilimleri Üniversitesi, Kartal Koşuyolu Yüksek İhtisas Eğitim ve Araştırma Hastanesi