Aortic valve replacement through a minimally invasive approach: preoperative planning, surgical technique, and outcome

The Annals of Thoracic Surgery
Andre PlassJürg Grünenfelder

Abstract

This study reports the experiences of minimally invasive aortic valve replacement (MIAVR) through a right minithoracotomy performed in the past 26 months and describes the surgical technique, the learning curve, the complication rate, and the patient outcomes. From March 2006 to June 2008, 172 patients (113 men; mean age, 71 +/- 12 years) were scheduled for MIAVR (6- to 7-cm incision). Multislice computed tomography (MSCT) imaging was used for surgical planning in 139. Aortic cannulation/clamping were performed through a right-sided minithoracotomy and venous cannulation percutaneously through the groin. For obtaining optimal intercostal space (ICS) distances between the incision to the aorta and cardiac structures, 2- and 3-dimensional MSCT images were evaluated. Operations were done in 171 patients. MIAVR was successfully performed in 160 (94%). Six patients underwent a conventional operation due to adhesions in 4, small diameter of aortic annulus (17 mm) in 1, and concomitant coronary artery disease in 1. One patient was considered nonoperable. After CT-planning choice of second ICS in 17%, third in 81%, and fourth in 1%. Five conversions to sternotomy were necessary. Intraoperative and postoperative complications occurred i...Continue Reading

References

Aug 1, 1996·The Annals of Thoracic Surgery·D M Cosgrove, J F Sabik
May 16, 1998·The Annals of Thoracic Surgery·S R GundryL L Bailey
Dec 29, 1999·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·F BenettiA Zappetti
Dec 21, 2000·International Journal of Cardiology·M G EngelmannG Steinbeck
Nov 5, 2002·Clinical Radiology·G J Morgan-HughesC A Roobottom
Nov 12, 2005·Journal of Thoracic Imaging·Robert C GilkesonPeter Sachs
Feb 16, 2006·European Radiology·Simon WildermuthHatem Alkadhi
Mar 25, 2006·Surgical Endoscopy·M J Mack
Aug 1, 2006·Cardiology·Alan P Kypson

❮ Previous
Next ❯

Citations

May 11, 2010·International Journal of Computer Assisted Radiology and Surgery·Kei Wai Cecilia HungKotaro Minato
Mar 5, 2011·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Giuseppe BruschiLuigi Martinelli
Jan 11, 2012·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Michele MurziMattia Glauber
Jan 15, 2014·Multimedia Manual of Cardiothoracic Surgery : MMCTS·Daniyar GilmanovMattia Glauber
Jan 23, 2014·Multimedia Manual of Cardiothoracic Surgery : MMCTS·Giuseppe BruschiLuigi Martinelli
Sep 1, 2010·Innovations : Technology and Techniques in Cardiothoracic and Vascular Surgery·Donald D GlowerBhargavi Desai
Jun 2, 2011·Future Cardiology·Alexander IribarneMichael Argenziano
Dec 3, 2013·General Thoracic and Cardiovascular Surgery·Toshinori TotsugawaTaichi Sakaguchi
Oct 31, 2015·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Borut GersakMattia Glauber
Sep 24, 2013·The Annals of Thoracic Surgery·Daniyar GilmanovMattia Glauber
Jul 23, 2013·The Annals of Thoracic Surgery·Daniyar GilmanovMattia Glauber
Feb 27, 2013·The Annals of Thoracic Surgery·Antonio ManentiClaudio Morandi
May 29, 2012·The Annals of Thoracic Surgery·Giuseppe BruschiLuigi Martinelli
Jan 23, 2016·The Annals of Thoracic Surgery·Jarosław StolińskiJanusz Andres
Nov 11, 2011·Heart, Lung & Circulation·Fabrizio SansoneRiccardo Casabona
May 3, 2011·Heart, Lung & Circulation·Fabrizio SansoneRiccardo Casabona
Aug 3, 2010·The Journal of Thoracic and Cardiovascular Surgery·Ingo BreitenbachWolfgang Harringer
Aug 30, 2014·Annals of Thoracic and Cardiovascular Surgery : Official Journal of the Association of Thoracic and Cardiovascular Surgeons of Asia·Akimasa MorisakiToshihiko Shibata
Jun 23, 2015·The Annals of Thoracic Surgery·Severin SemsrothElfriede Ruttman-Ulmer
Jul 2, 2014·Journal of Cardiac Surgery·Laurens W WollersheimBas A de Mol
Sep 28, 2010·The Annals of Thoracic Surgery·Alexander IribarneMichael Argenziano
Sep 19, 2015·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Stephan Haussig, Axel Linke
Nov 26, 2014·Circulation Journal : Official Journal of the Japanese Circulation Society·Arudo HiraokaTaichi Sakaguchi
Apr 21, 2012·The Journal of Thoracic and Cardiovascular Surgery·Mattia GlauberMarco Solinas
Jan 15, 2015·The Annals of Thoracic Surgery·Elisa MikusMauro Del Giglio
Nov 24, 2016·Postgraduate Medical Journal·Michele TonuttiMikael H Sodergren
Mar 28, 2017·Innovations : Technology and Techniques in Cardiothoracic and Vascular Surgery·Daniel M BethencourtGregory S Thomas
Mar 25, 2017·Innovations : Technology and Techniques in Cardiothoracic and Vascular Surgery·Jarosław StolińskiJanusz Andres
May 21, 2015·Asian Cardiovascular & Thoracic Annals·Priyadharshanan AriyaratnamSteven C Griffin
Jul 21, 2017·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Cory N CrissJames D Geiger
Feb 28, 2018·ASAIO Journal : a Peer-reviewed Journal of the American Society for Artificial Internal Organs·Deepak AcharyaSatinder Singh
Apr 25, 2014·Innovations : Technology and Techniques in Cardiothoracic and Vascular Surgery·Donald D GlowerJeffrey G Gaca
Aug 31, 2013·Innovations : Technology and Techniques in Cardiothoracic and Vascular Surgery·Diana ReserStephan Jacobs
Oct 14, 2019·Journal of Cardiothoracic Surgery·Bruce R BotiHenk A Marquering
Sep 10, 2020·Journal of Cardiac Surgery·Karel M Van PraetJörg Kempfert
Oct 1, 2017·Interactive Cardiovascular and Thoracic Surgery·Masayoshi TokoroMamoru Orii
Feb 26, 2019·International Heart Journal·Dong ZhaoChunSheng Wang
May 11, 2019·Journal of Cardiothoracic Surgery·Anna OldsLeonard Y Lee
Jul 26, 2019·Surgery Today·Go Ueno, Nobuhisa Ohno
Mar 20, 2018·International Journal of Computer Assisted Radiology and Surgery·Hui LiVito Giovanni Ruggieri
May 3, 2018·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Patrick KleinBart P van Putte
Dec 22, 2020·Journal of Cardiac Surgery·Elisa MikusAlberto Albertini
Dec 30, 2021·Interactive Cardiovascular and Thoracic Surgery·Takanori TsujimotoKenji Okada

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Innovations : Technology and Techniques in Cardiothoracic and Vascular Surgery
D D GlowerBhargavi Desai
European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery
Minoru TabataS F Aranki
© 2022 Meta ULC. All rights reserved