Author/Editor		Klokočovnik, Tomislav
Title		Minimalni invazivni pristop za zamenjavo aortne zaklopke
Translated title		Minimally invasive aortic valve replacement
Type		članek
Source		Zdrav Vestn
Vol. and No.		Letnik 66, št. 12
Publication year		1997
Volume		str. 635-7
Language		slo
Abstract		Background and methods. Following clinical noninvasive and invasive diagnostics, identifying calcified aortic valve stenosis, three patients were operated upon using right minimally invasive approach for the aortic valve replacement. Conclusions. The seldom performed parasternal approach has several potential advantages: small surgical wound reduces blood loss and potential infection; patients are extubated and discharged from the hospital earlier; reoperation should be less difficult, because the pericardium is not completely dissected; pain is less intensive, and small postoperative scar on the chest is cosmetically more acceptable than after the loong median incision.
Summary		Izhodišča in metode. Potem ko smo s kliničnimi neinvazivnimi in invazivnimi preiskavami potrdili hemodinamsko pomembno stenozo aortne zaklopke, smo po minimalni torakotomiji na desni strani zamenjali aortno zaklopko dvema bolnicama in enemu bolniku. Zaključki. Prve izkušnje kažejo, da ima minimalni pristop več prednosti pred klasično mediano torakotomijo: manjši sta poraba krvi in nevarnost vnetja operativne rane; bolnika lahko odklopimo od mehanične ventilacije (ekstubiramo) takoj po operativnem posegu; hospitalizacija je krajša in rehabilitacija lažja; tudi morebitna ponovna operacija je lažja, ker je osrčnik delno prerezan. Manjše kot pri klasični sternotomiji so bolečine, pa tudi brazgotina na prsnem košu je za bolnika estetsko bolj sprejemljiva.
Descriptors		AORTIC VALVE STENOSIS HEART VALVE PROSTHESIS THORACOTOMY ADULT SURGERY, MINIMALLY INVASIVE