Pre-operative:

Preoperative preparations include disease medication control, tooth examination, computed tomographic angiography scan, cardiovascular examinations, preoperative anesthesia visits, and deep breathing exerciser training.

Surgery: 

# Transcatheter aortic valve implantation (TAVI)

More than 90% patients just received consciousness sedation. TAVI device will inserted from right femoral artery with In-Line sheath. Under rapid pacing, the device will smoothly be deployed just below aortic annulus. The arteriotomy will closed by closure device. The wound will be only 1cm puncture hole at bilateral inguinal area.

(TAVI 手術圖片)

# Robotic assisted cardiac surgery

Robotic assisted cardiac surgery was mainly used for mitral valve disease. Under high resolution scope and dexterous arm, we can perform mitral valve repair easier and more accurately. Compared to conventional sternotomy, robotic cardiac surgery had much early recovery and cosmetic effect, with only a 3cm thoracotomy wound and four 1cm puncture hole.

(Robotic 傷口圖)

Post-operative: 

# Daily wound care

# Encourage ambulation

# Annually transthoracic echocardiogram follow-up

Notification

Risks and complications with cardiac and aortic surgery include:

# Bleeding

# Wound pain/infection/poor healing

# Stroke, intracranial hemorrhage

# Pneumonia/sepsis/respiratory failure

# Cardiogenic shock, heart failure