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| Name | Class |
|---|---|
| Ettore Sansavini Health Science Foundation | OTHER |
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The aim of the present study is to assess in a "real life" case list the outcome of three different surgical approaches for isolated aortic valve surgery in terms of surgery times, morbidity and mortality.
The study will focus on data recorded and collected from daily clinical treatment of patients undergoing isolated aortic valve replacement due to symptomatic aortic stenosis who consented to the use of their personal data. After surgery patients will be followed up to a minimum of 12 months. In-hospital and follow-up outcomes of the different surgical approaches will be analysed.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| upper mini-sternotomy | aortic valve replacement surgery via upper J or T sternotomy (ministernotomy) |
| |
| right mini thoracotomy | aortic valve replacement/repair surgery via right mini thoracotomy |
| |
| conventional sternotomy | aortic valve replacement surgery via conventional full sternotomy |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| aortic valve replacement | Procedure | aortic valve replacement with either biological prosthetic valve or mechanical valve |
|
| Measure | Description | Time Frame |
|---|---|---|
| Cardiopulmonary bypass time | during surgery | |
| Total duration of Intensive Care Unit stay | during hospital stay, usually lasting one to two weeks | |
| Blood transfusions | during hospital stay, usually lasting one to two weeks |
| Measure | Description | Time Frame |
|---|---|---|
| renal insufficiency | need for haemofiltration | during hospital stay, usually lasting one to two weeks |
| Prolonged ventilation | longer than 24 hours |
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Inclusion Criteria:
Exclusion Criteria:
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patients undergoing isolated aortic valve surgery
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| Name | Affiliation | Role |
|---|---|---|
| Elisa Mikus, MD | Maria Cecilia Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Maria Cecilia Hospital | Cotignola | Ravenna | 48010 | Italy |
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| ID | Term |
|---|---|
| D065467 | Transcatheter Aortic Valve Replacement |
| ID | Term |
|---|---|
| D019918 | Heart Valve Prosthesis Implantation |
| D006348 | Cardiac Surgical Procedures |
| D013504 | Cardiovascular Surgical Procedures |
| D013514 | Surgical Procedures, Operative |
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|
| biological prosthetic valve | Device | aortic valve replacement with either biological prosthetic valve or mechanical valve |
|
| Mechanical valve | Device | aortic valve replacement with either biological prosthetic valve or mechanical valve |
|
| during hospital stay |
| Re-exploration for bleeding | need of surgical revision for bleeding | during hospital stay, usually lasting one to two weeks |
| sepsis | during hospital stay, usually lasting one to two weeks |
| Neurological complications | stroke and/or transient ischemic attacks | during hospital stay, usually lasting one to two weeks |
| in-hospital mortality | during hospital stay, usually lasting one to two weeks |
| 30-day mortality | 30 days after surgery |
| D019919 | Prosthesis Implantation |
| D019616 | Thoracic Surgical Procedures |