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Since 2009, positive experiences with right anterior minithoracotomy as an approach to aortic valve replacement are extensively practiced in our institution. The primary disease process for which patients are referred remains aortic stenosis. But more and more, we met older patients with both aortic stenosis and other cardiac pathology (coronary artery disease, other valvulopathy...). Even if minimally invasive valve surgery has been demonstrated to significantly improve postoperative course (reduced blood transfusion, pain, hospital lengths of stay) and to enhance postoperative recovery, when compared with a median sternotomy, it is however important to have medical data and statistics in order to better understand the factors influencing morbi-mortality and thereby to continue this improvement.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| RVAo MITAVA | Patient operated since 2009 for aortic valve replacement through right anterior minithoracotomy approch in Dijon Burgundy University Hospital |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Aortic valve replacement | Procedure | Aortic valve replacement with or without associated cardiac surgery (coronary bypass, mitral valve surgery,...) |
|
| Measure | Description | Time Frame |
|---|---|---|
| 30 days mortality incidence rates | Mortality from aortic valve replacement to 30 days post-surgery | 30 days |
| Measure | Description | Time Frame |
|---|---|---|
| 30 days morbidity incidence rates | Morbidity from aortic valve replacement to 30 days post-surgery (major adverse cardiac events) | 30 days |
| Long-term morbimortality incidence rates | Morbimortality from aortic valve replacement up to 10 years post-surgery |
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Inclusion Criteria:
Exclusion Criteria:
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All patient operated for aortic valve replacement with or without associated cardiac surgery from 2009 in Dijon University Hospital
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| Name | Affiliation | Role |
|---|---|---|
| Marie-Catherine MORGANT, MD | Centre Hospitalier Universitaire Dijon | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Cardiovascular and thoracic surgery Unit - Dijon University Hopital | Dijon | 21000 | France |
All patients signed a institutional form prior to the procedure stating that they did not object to the use of their medical data for research purposes. Before inclusion, all patients (or a trusted person) were informed about the study and its objectives. No opposition was expressed.
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| ID | Term |
|---|---|
| D000082862 | Aortic Valve Disease |
| ID | Term |
|---|---|
| D006349 | Heart Valve Diseases |
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |
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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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| 10 years |
| D019919 | Prosthesis Implantation |
| D019616 | Thoracic Surgical Procedures |