1. Department of Cardiac Surgery, Circolo Hospital, University of Insubria, Varese, Italy;2. Department of Cardiothoracic Surgery, Heart and Vascular Centre, Maastricht University Medical Centre, Maastricht, The Netherlands;3. Department of Cardiology, Circolo Hospital, University of Insubria, Varese, Italy;4. Department of Cardiology, IRCCS Policlinico San Donato, University of Milan, Milan, Italy;1. Division of Cardiac Surgery, Department of Surgery, Medical University of Vienna, Vienna, Austria;2. Division of Cardiology, Department of Internal Medicine II, Medical University of Vienna, Vienna, Austria;1. Department of Adult Cardiac Surgery, G. Pasquinucci Heart Hospital, Gabriele Monasterio Foundation, Massa, Italy;2. Humanitas Clinical and Research Center, Rozzano, Italy;1. Department of Cardiac Surgery, University of Padova, Padova, Italy;2. Department of Cardiac Surgery, University of Turin, Turin, Italy;3. Department of Cardiac Surgery, San Gaudenzio Hospital, Novara, Italy;4. Department of Cardiac Surgery, Monzino Hospital-University of Milan, Milan, Italy;5. Department of Cardiac Surgery, Catholic University, Rome, Italy;6. Department of Cardiac Surgery, S. Maria d. Misericordia Hospital-University of Udine, Udine, Italy;7. Department of Cardiac Surgery, Ospedali Riuniti, Ancona, Italy;8. Department of Cardiac Surgery, G.B. Morgagni Hospital, Catania, Italy;9. Department of Cardiac Surgery, Niguarda Hospital, Milan, Italy;10. Department of Cardiac Surgery, University of Bologna, Bologna, Italy;11. Department of Cardiac Surgery, San Bortolo Hospital, Vicenza, Italy;12. Department of Cardiac Surgery, Sacco Hospital-University of Milan, Milan, Italy;13. Department of Cardiac Surgery, S. Anna Hospital, Catanzaro, Italy;14. Department of Cardiac Surgery, European Hospital, Rome, Italy;15. Department of Cardiac Surgery, San Carlo Hospital, Potenza, Italy;p. Department of Cardiac Surgery, San Raffaele University Hospital, Milan, Italy;q. Department of Cardiac Surgery, Giovanni Paolo II Hospital, Campobasso, Italy;r. Department of Cardiac Surgery, Santissima Annunziata Hospital, Sassari, Italy;s. Department of Cardiac Surgery, San Camillo Hospital, Rome, Italy;t. Department of Cardiac Surgery, University of Pisa, Pisa, Italy
Abstract:
One-hundred twenty-five patients underwent isolated endoscopic aortic valve replacement. The surgical access was a 3–4 cm minithoracotomy in the second right intercostal space; 3 additional 5 mm miniports for the introduction of a 30-degree thoracoscope, the Chitwood clamp, and the vent line are required. Stended bioprostheses, Rapid Deployment, and Sutureless valves were implanted in 56, 23, and 46 cases, respectively. Mean cross-clamping and cardiopulmonary bypass times were 87.5 ± 22.1 and 126.1 ± 28.4 minutes, respectively. Thirty-day mortality was 0.8%. One patient (0.8%) needed a re-exploration for bleeding and 3 patients (2.4%) required a new permanent pacemaker implantation. No major neurologic events were observed.
