<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2444-054X</journal-id>
<journal-title><![CDATA[Cirugía y cirujanos]]></journal-title>
<abbrev-journal-title><![CDATA[Cir. cir.]]></abbrev-journal-title>
<issn>2444-054X</issn>
<publisher>
<publisher-name><![CDATA[Academia Mexicana de Cirugía A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2444-054X2022000300303</article-id>
<article-id pub-id-type="doi">10.24875/ciru.21000295</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Aortic valve replacement using minimally invasive surgery, a safe technique in our setting: experience of one center]]></article-title>
<article-title xml:lang="es"><![CDATA[La sustitución valvular aórtica a través de cirugía de mínimo acceso, una técnica segura en nuestro medio: experiencia de un centro]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[García]]></surname>
<given-names><![CDATA[Nora]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Bermúdez]]></surname>
<given-names><![CDATA[Aníbal]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Daroca]]></surname>
<given-names><![CDATA[Tomás]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Puerta del Mar Department of Cardiovascular Surgery ]]></institution>
<addr-line><![CDATA[Cádiz ]]></addr-line>
<country>Spain</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2022</year>
</pub-date>
<volume>90</volume>
<numero>3</numero>
<fpage>303</fpage>
<lpage>309</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2444-054X2022000300303&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2444-054X2022000300303&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2444-054X2022000300303&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Aim: The aim of this study was to analyze the results of minimum access surgery in comparison with conventional surgery, especially in relation to post-operative (PO) mortality.  Materials and methods: This study was retrospective observational study, employing regressions, and bivariate correlations in the statistical analysis. A total of 114 patients over 65 years of age referred to cardiac surgery: 57 subjects in the minimum access group and 57 subjects in the sternotomy group. The main variables of interest were: demographic variables, PO course, mainly mortality, as well as duration of admission to critical care and total admission time.  Results: The mean age was 73.11 years, with 52.6% of women and 47.4% of men, and no significant differences between the pre-operative characteristics of either group. Regarding mortality, this was lower in the minimum access group, statistically significant in the analysis using bivariate correlations.  Conclusions: Aortic valve replacement using a minimally invasive approach is a safe technique in our environment, despite its necessary learning curve.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Objetivos: Analizar los resultados de la cirugía de mínimo acceso en comparación con la cirugía convencional, especialmente en cuanto a la mortalidad postoperatoria.  Material y métodos: Estudio observacional retrospectivo, empleando regresiones y correlaciones bivariadas en el studio estadístico. Un total de 114 pacientes de más de 65 años derivados a cirugía cardíaca: 57 sujetos en el grupo de mínimo acceso y 57 sujetos en el grupo esternotomía. Las principales variables de interés: demográficas, evolución postoperatoria, sobre todo mortalidad, así como la duración del ingreso en cuidados críticos e ingreso total hospitalario.  Resultados: La edad media fue de 73,11 años, con un 52,6% de mujeres y 47,4% de hombres, y sin diferencias estadísticamente significativas entre las características preoperatorias de cada grupo. En cuanto a la mortalidad, ésta result más baja en el grupo de mínimo acceso, siendo estadísticamente significativo en el análisis por correlaciones bivariadas.  Conclusiones: La sustitución valvular aórtica mediante cirugía mínimamente invasive es una técnica segura en nuestro medio, a pesar de su curva de aprendizaje.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Mortality]]></kwd>
<kwd lng="en"><![CDATA[Minimum access surgery]]></kwd>
<kwd lng="en"><![CDATA[Results]]></kwd>
<kwd lng="en"><![CDATA[Conventional surgery]]></kwd>
<kwd lng="es"><![CDATA[Mortalidad]]></kwd>
<kwd lng="es"><![CDATA[Cirugía mínimamente invasiva]]></kwd>
<kwd lng="es"><![CDATA[Resultados]]></kwd>
<kwd lng="es"><![CDATA[Cirugía convencional]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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