Analysis of Quality of Life in Patients after Surgical Correction of Ascending Aortic Pathology Using Minimally Invasive Access

  • V. V. Vayda National Amosov Institute of Cardiovascular Surgery, Kyiv, Ukraine
  • V. I. Kravchenko National Amosov Institute of Cardiovascular Surgery, Kyiv, Ukraine
  • I. I. Zhekov National Amosov Institute of Cardiovascular Surgery, Kyiv, Ukraine
  • I. M. Kravchenko National Amosov Institute of Cardiovascular Surgery, Kyiv, Ukraine
Keywords: ministernotomy, aortic stenosis, ascending aorta aneurysm, aortic insufficiency, quality of life

Abstract

The assessment of quality of life-associated health is an important factor in determining the severity of the condition and the strategy for choosing surgical access in the treatment of patients with ascending aorta pathology.

Introduction. Given that the use of minimally invasive access in the correction of aortic valve disease in combination with ascending aortic pathology accelerates the functional recovery of patients, reduces patient’s stay in hospital, this issue requires careful approach and the only correct choice of treatment method.

Aim. To evaluate the quality of life of patients using post-operative SF-36 general medical questionnaire after surgical correction of ascending aorta pathology through J-shaped upper ministernotomy compared with traditional access.

Materials and methods. In the SI “National Amosov Institute of Cardiovascular Surgery of the NAMS of Ukraine” from 2016 to 2019 we analyzed the data of 126 patients with ascending aorta pathology. All patients were divided into two groups, depending on the choice of surgical access. Patients were sequentially examined and selected for surgical correction of ascending aorta pathology.

Conclusions. Our study has proved that the use of minimally invasive access improves the quality of life of patients in the postoperative period and is safe for patients.

References

  1. Abdulkareem N, Soppa G, Jones S, Valencia O, Smelt J, Jahangiri M. Dilatation of the remaining aorta after aortic valve or aortic root replacement in patients with bicuspid aortic valve: a 5-year follow-up. Ann. Thorac. Surg. 2013;96(1):43–9. https://doi.org/10.1016/j.athoracsur.2013.03.086
  2. Iung B. Quality of life after transcatheter aortic valve implantation: the need for more a complete appraisal. Eur Heart J Qual Care Clin Outcomes. 2016 Jul 1;2(3):147–8. https://doi.org/10.1093/ehjqcco/qcw014
  3. Khan JH, McElhinney DB, Hall TS, Merrick SH. Cardiac valve surgery in octogenarians: improving quality of life and functional status. Arch Surg. 1998 Aug;133(8):887–93. https://doi.org/10.1001/archsurg.133.8.887
  4. Korteland NM, Top D, Borsboom GJ, Roos-Hesselink JW, Bogers AJ, Takkenberg JJ. Quality of life and prosthetic aortic valve selection in non-elderly adult patients. Interact Cardiovasc Thorac Surg. 2016 Jun;22(6):723–8. https://doi.org/10.1093/icvts/ivw021
  5. Namazi P, Hosseni SS, Mohammadi N. Health-Related Quality of Life after Valve Replacement Surgery. JCCNC. 2015;1(2):91–6.
Published
2020-01-22
How to Cite
Vayda, V. V., Kravchenko, V. I., Zhekov, I. I., & Kravchenko, I. M. (2020). Analysis of Quality of Life in Patients after Surgical Correction of Ascending Aortic Pathology Using Minimally Invasive Access. Ukrainian Journal of Cardiovascular Surgery, (1 (38), 49-52. https://doi.org/10.30702/ujcvs/20.3803/005049-052