First case of minimally invasive aortic valve surgery at the General Hospital of México “Dr. Eduardo Liceaga”.

Abstract

Cardiac surgery in the last 20 years has evolved along with new technologies, by tailoring a multidisciplinary team to perform minimally invasive surgery with the goal of providing less hospital stay, use of blood products, postoperative complications and a lower length of stay with the same quality and safety of conventional methods. We present a 45-year-old female, received for precordial pain with a mesothelesystolic murmur in the aortic area; the echocardiogram reported a stenotic aortic valve, with an area of 1 cm2, mean pressure gradient of 52 mmHg. We approached by an upper mini-sternotomy in J followed by cardiopulmonary bypass with aortic and unicaval cannulation; replaced the native valve with a 19 mm mechanical type. Afterward she was extubated and transferred to the coronary unit remaining there for 140 hours, discharged from hospital after remaining 48 hours at the general ward. Our results showed similarity in time, evolution and recovery when compared to national and international standards

Keywords

• cirugía cardiaca mínimamente invasiva, miniesternotomía, estenosis aórtica.