Double venous drainage through the superior vena cava in minimally invasive aortic valve replacement: a retrospective study.

Croatian Medical Journal
Tomislav KlokocovnikMatjaz Bunc

Abstract

To compare the outcomes of patients who underwent upper mini-sternotomy or right mini-thoracotomy and those who underwent full sternotomy and to report a technical improvement in venous drainage by means of double venous cannulation of the superior vena cava (SVC) in mini surgical procedures. We retrospectively analyzed the outcome of 217 patients who underwent aortic valve replacement through upper mini-sternotomy or right mini-thoracotomy at the Department of Cardiovascular Surgery, University Medical Centre Ljubljana, Slovenia from 1996 till 2010. Cannulation of SVC and right atrial appendage was performed in 142/217 (65%) patients, while in the remaining 75 (35%) patients, double cannulation of SVC was used for venous drainage. The results of patients who underwent mini approaches were compared to 236 patients who underwent full sternotomy for the same purpose from 2009 to 2010 at the same center. We found a shorter mean length of intensive care unit stay, less volume chest-tube drainage, shorter crossclamp and cardio pulmonary bypass times, and less postoperative permanent pacemaker implantations in the minimally invasive group patients than in full sternotomy group patients. Using double cannulation of the SVC for venous ...Continue Reading

References

Aug 1, 1996·The Annals of Thoracic Surgery·D M Cosgrove, J F Sabik
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Citations

Jul 30, 2014·The Annals of Thoracic Surgery·Kevin PhanTristan D Yan
Mar 10, 2015·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Michael E BowdishVaughn A Starnes
Mar 26, 2015·Interactive Cardiovascular and Thoracic Surgery·Steffen PfeifferGiuseppe Santarpino
Aug 24, 2016·Journal of Medical Economics·Matthew MooreEugene A Grossi
Apr 5, 2017·Journal of Comparative Effectiveness Research·Matt MooreEugene A Grossi
Nov 21, 2017·Interactive Cardiovascular and Thoracic Surgery·Matija JelencTomislav Klokocovnik
Jul 12, 2020·Journal of Cardiac Surgery·Mohammad Yousuf SalmasiHunaid A Vohra
Dec 13, 2017·Deutsches Ärzteblatt International·Torsten DoenstGloria Färber

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