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undergraduate thesis
Usporedba klasične i minimalno invazivne zamjene aortalnog zaliska
2023. urn:nbn:hr:176:067139
Bosančić, Zorica
University of Split
University Department of Health Studies

Cite this document

Bosančić, Z. (2023). Usporedba klasične i minimalno invazivne zamjene aortalnog zaliska (Undergraduate thesis). Split: University of Split. Retrieved from https://urn.nsk.hr/urn:nbn:hr:176:067139

Bosančić, Zorica. "Usporedba klasične i minimalno invazivne zamjene aortalnog zaliska." Undergraduate thesis, University of Split, 2023. https://urn.nsk.hr/urn:nbn:hr:176:067139

Bosančić, Zorica. "Usporedba klasične i minimalno invazivne zamjene aortalnog zaliska." Undergraduate thesis, University of Split, 2023. https://urn.nsk.hr/urn:nbn:hr:176:067139

Bosančić, Z. (2023). 'Usporedba klasične i minimalno invazivne zamjene aortalnog zaliska', Undergraduate thesis, University of Split, accessed 31 October 2024, https://urn.nsk.hr/urn:nbn:hr:176:067139

Bosančić Z. Usporedba klasične i minimalno invazivne zamjene aortalnog zaliska [Undergraduate thesis]. Split: University of Split; 2023 [cited 2024 October 31] Available at: https://urn.nsk.hr/urn:nbn:hr:176:067139

Z. Bosančić, "Usporedba klasične i minimalno invazivne zamjene aortalnog zaliska", Undergraduate thesis, University of Split, Split, 2023. Available at: https://urn.nsk.hr/urn:nbn:hr:176:067139

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Metadata
TitleUsporedba klasične i minimalno invazivne zamjene aortalnog zaliska
Title (english)Comparison of classic and minimally invasive aortic valve replacement
AuthorZorica Bosančić
MentorMate Petričević (mentor)
Committee memberMate Petričević (predsjednik povjerenstva)
Committee memberMario Podrug (član povjerenstva)
Committee memberDiana Aranza (član povjerenstva)
GranterUniversity of Split
(University Department of Health Studies)
Split
Defense date and country2023-07-26, Croatia
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Abstract
Klasična zamjena aortnog zaliska i minimalno invazivna zamjena aortnog zaliska postali su alternativa kirurškoj zamjeni aortnog zaliska putem srednje sternotomije za liječenje teške aortne stenoze. Pregled postojeće literature pokazuje da je klasična zamjena aortalnog zaliska nezamjenjiv alat za inoperabilne, visokorizične i možda srednje-rizične pacijente s teškom aortalnom stenozom. Povezan je s nizom štetnih perioperativnih ishoda, kao što su valvularna regurgitacija i vaskularne komplikacije. Minimalno invazivna zamjena aortalnog zaliska je povezana sa smanjenom duljinom boravka u jedinici intenzivne njege i boravkom u zdravstvenoj ustanovi, manjom učestalošću transfuzije krvi, smanjenim vremenom ventilacije i poboljšanim kozmetičkim rezultatima. Minimalno invazivna zamjena aortalnog zaliska zadržava potencijalne prednosti u odnosu na klasičnu zamjenu, uključujući implantaciju izdržljive proteze i niske stope perioperativnog infarkta miokarda i paravalvularnog isticanja. Povezan je s dužim vremenom klemane aorte i vremena na ekstrakorporalnom krvotoku; međutim, upotreba implantata zalistaka bez šavova može to vrijeme značajno skratiti. Istraživanja koja uspoređuju klasičnu zamjenu i minimalno invazivnu zamjenu aortalnog zaliska pokazuju smanjenu postoperativnu smrtnost, valvularnu regurgitaciju i incidenciju moždanog udara kod minimalno invazivne zamjene aortalnog zaliska. Trenutačno postoji nekoliko istraživanja koje uspoređuju takva dva zahvata kod zamjene aortalnog zaliska, budući da je teško usporediti populaciju pacijenata s tipično nisko-rizičnim minimalno invazivnom zamjenom i visokorizičnom klasičnom zamjenom aortalnog zaliska.
Abstract (english)
Classical aortic valve replacement and minimally invasive aortic valve replacement have become alternatives to surgical aortic valve replacement via median sternotomy for the treatment of severe aortic stenosis. A review of the existing literature shows that classic aortic valve replacement is an indispensable tool for inoperable, high-risk, and possibly intermediate-risk patients with severe aortic stenosis. It is associated with a number of adverse perioperative outcomes, such as valvular regurgitation and vascular complications. Minimally invasive aortic valve replacement is associated with reduced length of stay in the intensive care unit and hospital stay, less frequent blood transfusions, reduced ventilation time, and improved cosmetic results. Minimally invasive aortic valve replacement retains potential advantages over conventional replacement, including implantation of a durable prosthesis and low rates of perioperative myocardial infarction and paravalvular protrusion. It is associated with a longer time of cross-clamping of the aorta and cardiopulmonary bypass; however, the use of sutureless valve implants can circumvent this. Studies comparing classic versus minimally invasive aortic valve replacement show reduced postoperative mortality, valvular regurgitation, and stroke incidence with minimally invasive aortic valve replacement. Currently, there are few studies comparing such two procedures in aortic valve replacement, since it is difficult to compare patient populations with typically low-risk minimally invasive replacement and high-risk classic aortic valve replacement.
Keywords
Keywords (english)
Languagecroatian
URN:NBNurn:nbn:hr:176:067139
Study programmeTitle: Nursing (university/undergraduate)
Study programme type: university
Study level: undergraduate
Academic / professional title: sveučilišni prvostupnik/prvostupnica (baccalaureus/baccalaurea) sestrinstva (sveučilišni prvostupnik/prvostupnica (baccalaureus/baccalaurea) sestrinstva)
Type of resourceText
File originBorn digital
Access conditionsOpen access
Terms of useLicence In copyright icon
Created on2023-07-26 11:00:29