Cirurgia da valva aórtica: estudo prospectivo e randomizado da miniesternotomia versus cirurgia convencional

Dias, Ricardo Ribeiro; Sobral, Marcelo Luiz Peixoto; Júnior, Silas Fernandes Avelar; Santos, Gilmar Geraldo dos; Lima, Marco Aurélio Vilela Borges; Haddad, Vítor; Moreira, Luíz Felipe Pinho; Stolf, Noedir A. G

doi:10.1590/s0102-76381999000200005

Cited by 7 publications

(13 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In this cases series, CPB was used in a conventional manner and was not vacuum-assisted since the cannulation was transthoracic occupying the same surgical field. This surgical option required larger chest incisions, reducing the aesthetic benefit and the expected reduction of postoperative discomfort [27][28][29].…”

Section: Discussionmentioning

confidence: 99%

Minimally invasive aortic valve replacement: an alternative to the conventional technique

Júnior

Fernandes

Sesca

et al. 2012

Revista Brasileira De Cirurgia Cardiovascular

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 99%

Minimally invasive aortic valve replacement: an alternative to the conventional technique

Júnior

Fernandes

Sesca

et al. 2012

Revista Brasileira De Cirurgia Cardiovascular

View full text Add to dashboard Cite

“…Although in the cohort presented, no increase of the sternotomy was necessary, the simplicity of conversion of the hemisternotomy to the conventional approach was stressed by DIAS et al [15], in which in their cohort conversion was necessary in three cases (15%). These cases included intraoperative infarction requiring revascularization of the anterior interventricular branch, laceration of the right ventricle and myocardial dysfunction attributed to pericardial compression.…”

Section: Commentsmentioning

confidence: 84%

<![CDATA[<b>Minimally invasive aortic valve replacement</b>: <b>a comparison of results with the traditional technique</b>]]>

Tyszka¹,

Watanabe²,

Cabral³

et al. 2004

Braz. j. cardiovasc. surg.

View full text Add to dashboard Cite

Objective: Minimally invasive heart surgeries are approaches used to reduce trauma, to give better cosmetic results and to reduce hospital costs with the same safety as conventional surgery. This study was designed to compare the operative results from patients who underwent minimally invasive aortic valve replacement with those who were submitted to the standard procedure.Method: The operative and immediate postoperative results of 12 consecutive patients who received minimally invasive isolated aortic valve replacements from June 2002 to February 2003 were compared to 12 patients who underwent to traditional approach in the same institution. The minimally invasive access used was superior median hemisternotomy where cardiopulmonary bypass was established through ascending aorta and right atrium cannulation, similar to the traditional technique.Results: The demographics of the patients were similar in both groups. There were no significant differences between aortic clamping time, total bypass time and operating time. The skin incision length was statistically shorter in the minimally invasive group. In the postoperative course, the mechanical ventilation time and the total hospital stay were shorter, but not statistically significant, in the minimally invasive group. The morbidity was the same in two groups.Conclusions: This surgical approach provides adequate exposure of the cardiac structures necessary to perform a safe valve replacement. With the same instruments used in the traditional surgery we can offer the benefits of a less invasive access with the same efficiency as in the conventional approach without adding any risks to our patients. Descriptors

show abstract

“…Data from the Society of Thoracic Surgery (STS) show that less than 20% of valve surgeries are performed by minimally invasive incisions, and there are few centers that make these surgeries more routine [1,2,9]. In our country, that number should be even lower, given the small number of publications on minimally invasive valve surgery, and with relatively small case series [10][11][12][13]. Among the major experiments, Poffo et al [10] reported a case series of 102 patients who underwent surgery between 2006 and 2008, and more recently.…”

Section: Discussionmentioning

confidence: 99%

Initial experience with minimally invasive cardiac operations

Costa

Winter

Ferreira

et al. 2012

Revista Brasileira De Cirurgia Cardiovascular

View full text Add to dashboard Cite

Background: Minimally invasive cardiovascular operations have been proposed as an alternative method to correct several cardiac congenital and acquired heart diseases, with the aim to reduce morbidity and mortality.Objectives: Describe the two years initial experience with minimally invasive operations, with emphasis on technical aspects and the learning curve.Methods: Between July 2009 and March 2012, 95 patients were operated using minimally invasive operations. Mean age was 55 ± 15 years and 53% were females. The operations performed were atrial septal defect closure (25), aortic valve replacement (32), mitral valve repair (23), mitral valve replacement (12), excision of atrial myxoma (2) and resection of subaortic membrane (1). The incision was a mini right thoracotomy in 87 cases and ministernotomy in 8.Results: Early mortality was 4.2%. Mean size of the incision was 6.3 ±1.2 cm. Extension of the original thoracotomy was necessary in only one case. Two patients suffered a stroke, and the mean total blood loss was 470 ± 277 ml. There were no cases of incision infection and 67% the patients had no major morbidity. Conclusions

show abstract

Cirurgia da valva aórtica: estudo prospectivo e randomizado da miniesternotomia versus cirurgia convencional

Cited by 7 publications

References 0 publications

Minimally invasive aortic valve replacement: an alternative to the conventional technique

Minimally invasive aortic valve replacement: an alternative to the conventional technique

<![CDATA[<b>Minimally invasive aortic valve replacement</b>: <b>a comparison of results with the traditional technique</b>]]>

Initial experience with minimally invasive cardiac operations

Contact Info

Product

Resources

About