Port-access surgery as elective approach for mitral valve operation in re-do procedures

European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery
Davide RicciMario Viganò

Abstract

Re-do mitral valve procedures performed through median sternotomy carry substantial mortality and morbidity. To avoid complications of sternal re-entry and to provide adequate mitral valve exposure, antero-lateral thoracotomy has been suggested by some authors. From October 1997 to January 2007, 677 mitral valve operations have been performed in our centre using port-access video-assisted right mini-thoracotomy. Among these, 241 (35.6%) were performed on patients who had undergone one or more previous cardiac surgery procedures. Mean cardio-pulmonary bypass time and endo-clamp time were 117+/-46 min and 71+/-31 min, respectively. Arterial cannulation was performed either on the ascending aorta, with the endo-direct cannula (112 patients, 46.5%), or peripherally with a femoral artery approach (129 patients, 53.5%). Conversion to median sternotomy was necessary in only two patients (0.8%) due to aortic dissection (one case) and left ventricle free wall rupture (one case). Median intensive care unit stay was 24h, median mechanical ventilation time was 12h; median hospital stay was 8 days. Bleeding requiring surgical revision occurred in 12 patients (4.9%). Hospital mortality was 4.9% (12/241 patients). Port-access video-assisted r...Continue Reading

Citations

Sep 4, 2013·The Annals of Thoracic Surgery·Mehrdad GhoreishiJames S Gammie
Jul 25, 2013·The Journal of Thoracic and Cardiovascular Surgery·Davide RicciMauro Rinaldi
Apr 30, 2013·The Journal of Thoracic and Cardiovascular Surgery·Davide RicciMauro Rinaldi
Aug 9, 2011·The Journal of Thoracic and Cardiovascular Surgery·Joseph M ArcidiW Randolph Chitwood
Dec 5, 2015·BioMed Research International·Antonino G M MarulloErnesto Greco
Aug 22, 2014·Annals of Thoracic and Cardiovascular Surgery : Official Journal of the Association of Thoracic and Cardiovascular Surgeons of Asia·Hiroshi Furukawa, Kazuo Tanemoto
Mar 31, 2015·The Journal of Thoracic and Cardiovascular Surgery·Cristina BarberoMauro Rinaldi
May 16, 2015·The Annals of Thoracic Surgery·Prashanth VallabhajosyulaW Clark Hargrove
Feb 6, 2014·Journal of Cardiac Surgery·Prashanth VallabhajosyulaW Clark Hargrove
Apr 8, 2017·Interactive Cardiovascular and Thoracic Surgery·Michele MurziAlfredo Giuseppe Cerillo
Nov 18, 2015·Innovations : Technology and Techniques in Cardiothoracic and Vascular Surgery·Marco MoscarelliMarco Solinas
Feb 27, 2018·Frontiers in Surgery·Jan-Philipp MinolArtur Lichtenberg
Oct 17, 2020·Indian Journal of Thoracic and Cardiovascular Surgery : Official Organ, Association of Thoracic and Cardiovascular Surgeons of India·Mateo Marin Cuartas, Piroze Minoo Davierwala
Jun 15, 2021·Journal of the Formosan Medical Association = Taiwan Yi Zhi·Nai-Hsin ChiNai-Kuan Chou
Feb 11, 2011·Current Opinion in Cardiology

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