Outcomes of minimally invasive valve surgery in patients with chronic obstructive pulmonary disease

European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery
Orlando SantanaJoseph Lamelas

Abstract

We hypothesize that minimally invasive valve surgery in patients with chronic obstructive pulmonary disease (COPD) is superior to the conventional median sternotomy approach. We retrospectively reviewed 2846 consecutive surgery performed at our institution between January 2005 and September 2010, and identified 165 patients with COPD who underwent isolated valve surgery. In-hospital mortality, composite complication rates, intensive care unit and total hospital length of stay of those who had undergone a minimally invasive approach were compared with a cohort that underwent a standard median sternotomy approach. Of the 165 patients, 100 underwent a minimally invasive approach and 65 had a median sternotomy. Baseline characteristics did not differ between the two groups. The mean age was 71 ± 11 years for the minimally invasive group and 68 ± 12 years for the median sternotomy group, (P = 0.31). In-hospital mortality was 1 (1%) in the minimally invasive group and 3 (5%) in the median sternotomy group, P = 0.14. Composite postoperative complications were significantly reduced in the minimally invasive group (30 versus 54%, P = 0.002). The median intensive care unit length of stay was 47 h (IQR 40-70) versus 73 h (IQR 51-112), P <...Continue Reading

References

Feb 1, 1991·The Annals of Thoracic Surgery·R GaynesM Kirsh
Dec 1, 1993·The Annals of Thoracic Surgery·F L GroverK E Hammermeister
Apr 29, 1998·Chest·L E SamuelsS K Brockman
Jun 5, 1999·Anesthesia and Analgesia·C Weissman
Aug 4, 1999·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·F RoquesL Thulin
Jan 16, 2002·The Annals of Thoracic Surgery·S C GardnerA L Shroyer
Feb 16, 2002·The Annals of Thoracic Surgery·Massimo BonacchiGuido Sani
Sep 21, 2002·BMJ : British Medical Journal·David Black, Mike Pearson
Jan 23, 2003·The Annals of Thoracic Surgery·Dexiang GaoA Laurie W Shroyer
Feb 1, 2005·The Annals of Thoracic Surgery·Selami DoganAnton Moritz
Jul 1, 2006·Anesthesiology·UNKNOWN American Society of Anesthesiologists Task Force on Perioperative Blood Transfusion and Adjuvant Therapies
Nov 29, 2007·Asian Cardiovascular & Thoracic Annals·Moustafa A MoustafaMagdy M Omarah
Oct 3, 2008·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Paul ModiWalter Randolph Chitwood
May 19, 2009·Interactive Cardiovascular and Thoracic Surgery·Marco ScarciHazem Fallouh
Jul 31, 2010·Journal of the American College of Cardiology·Jan D SchmittoLawrence H Cohn
Dec 22, 2010·The Annals of Thoracic Surgery·Joseph LamelasGervasio A Lamas
Apr 26, 2011·The Annals of Thoracic Surgery·Christos G MihosJoseph Lamelas

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Citations

Oct 1, 2013·The Journal of Thoracic and Cardiovascular Surgery·Angelo LaPietraJoseph Lamelas
Feb 20, 2016·Interactive Cardiovascular and Thoracic Surgery·Priyanka GosainOrlando Santana
Nov 23, 2013·The Annals of Thoracic Surgery·Giovanni Mariscalco, Francesco Musumeci
Sep 21, 2018·Annals of Thoracic and Cardiovascular Surgery : Official Journal of the Association of Thoracic and Cardiovascular Surgeons of Asia·Marek PojarZdenek Turek
Nov 18, 2015·Innovations : Technology and Techniques in Cardiothoracic and Vascular Surgery·Christos G MihosOrlando Santana
Dec 21, 2013·Innovations : Technology and Techniques in Cardiothoracic and Vascular Surgery·Devendra JoshiJoseph Lamelas
Jul 31, 2020·Asian Cardiovascular & Thoracic Annals·Ayman KenawyJoseph Zacharias
Dec 12, 2019·Khirurgiia·K V ShcherbatyukO Yu Pidanov
Dec 13, 2017·Deutsches Ärzteblatt International·Torsten DoenstGloria Färber
Sep 30, 2020·The Annals of Thoracic Surgery·Mark R HelmersPavan Atluri
Aug 12, 2021·Journal of Cardiothoracic Surgery·Marek PojarJan Vojacek

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