Rafael Figueroa-Casanova, Departamento de Cirugía Cardiovascular, Clínica Avidanti, Ibagué, Colombia
Juan D. Saavedra-Henao, Departamento de Cirugía Cardiovascular, Clínica Avidanti, Ibagué, Colombia
Carlos J. Pérez-Rivera, Departamento de Cirugía General, Universidad El Bosque, Bogotá, Colombia
Juan S. Figueroa-Legarda, Facultad de Medicina, Universidad El Bosque, Bogotá, Colombia
Diego A. Beltrán-Rincón, Departamento de Cirugía Cardiovascular, Clínica Avidanti, Ibagué, Colombia
Raúl G. Aguiar-Barrero, Facultad de Medicina, Universidad del Tolima, Ibagué, Colombia
Valentina Arboleda-Cárdenas, Facultad de Medicina, Universidad del Tolima, Ibagué, Colombia
Introduction: Aortic valve replacement is currently one of the most common cardiac surgeries, traditionally performed through open-heart surgery (median sternotomy). However, alternative surgical approaches, such as minimally invasive surgery through a mini-median sternotomy and transcatheter aortic valve replacement (TAVI), have been developed. Objective: To describe the experience of a cardiovascular center in Tolima regarding aortic valve replacement through different surgical approaches between 2018 and 2021. Method: A descriptive, cross-sectional study was conducted. A descriptive and bivariate analysis was performed regarding the surgical approach used. Results: The population consisted of 131 patients. Degenerative aortic valve disease was observed in 71.7% (n = 94) of cases, followed by congenital cases at 28.2% (n = 37). Regarding the surgical approach, 64.9% (n = 85) underwent open-heart surgery, followed by 24.4% (n = 32) through a minimally invasive approach, and in third place, 10.7% (n = 14) underwent transcatheter replacement. Bivariate analysis revealed that the minimally invasive approach showed better results. Conclusions: The open surgical approach is the most commonly implemented; however, the minimally invasive approach should be considered as an option due to its excellent results and a similar economic cost. This approach offers benefits such as reduced postoperative pain and a smaller surgical scar. Transcatheter access is preferred for patients at high surgical risk.
