Plastia valvar mitral minimamente invasiva videoassistida: abordagem periareolar

Poffo, Robinson; Pope, Renato Bastos; Toschi, Alisson Parrilha; Mokross, Cláudio Alexandre

doi:10.1590/s0102-76382009000400029

Cited by 19 publications

(5 citation statements)

References 3 publications

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“…In this situation, the advantage is the subpectoral access without muscle division. On the other hand, Poffo et al 10 introduce the periareolar access, which maximizes the cosmetic appearance, however implying in division of mammary glands and muscle division.…”

Section: Discussionmentioning

confidence: 99%

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Minimally Invasive Procedures - Direct and Video-Assisted Forms in the Treatment of Heart Diseases

Neto¹,

Melo²,

Silva³

et al. 2014

Arquivos Brasileiros De Cardiologia

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BackgroundMinimally invasive cardiovascular procedures have been progressively used in heart surgery. ObjectiveTo describe the techniques and immediate results of minimally invasive procedures in 5 years. MethodsProspective and descriptive study in which 102 patients were submitted to minimally invasive procedures in direct and video-assisted forms. Clinical and surgical variables were evaluated as well as the in hospital follow-up of the patients. ResultsFourteen patients were operated through the direct form and 88 through the video-assisted form. Between minimally invasive procedures in direct form, 13 had aortic valve disease. Between minimally invasive procedures in video-assisted forms, 43 had mitral valve disease, 41 atrial septal defect and four tumors. In relation to mitral valve disease, we replaced 26 and reconstructed 17 valves. Aortic clamp, extracorporeal and procedure times were, respectively, 91,6 ± 21,8, 112,7 ± 27,9 e 247,1 ± 20,3 minutes in minimally invasive procedures in direct form. Between minimally invasive procedures in video-assisted forms, 71,6 ± 29, 99,7 ± 32,6 e 226,1 ± 42,7 minutes. Considering intensive care and hospitalization times, these were 41,1 ± 14,7 hours and 4,6 ± 2 days in minimally invasive procedures in direct and 36,8 ± 16,3 hours and 4,3 ± 1,9 days in minimally invasive procedures in video-assisted forms procedures. ConclusionMinimally invasive procedures were used in two forms - direct and video-assisted - with safety in the surgical treatment of video-assisted, atrial septal defect and tumors of the heart. These procedures seem to result in longer surgical variables. However, hospital recuperation was faster, independent of the access or pathology.

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Section: Discussionmentioning

confidence: 99%

“…In men, the incision was subareola 10 and oriented through the intercostal space of the pectoralis major muscle (transpeitoral). In women, the incision was made in the inframammary fold and oriented to the subpectoral space.…”

Section: Methodsmentioning

confidence: 99%

Minimally Invasive Procedures - Direct and Video-Assisted Forms in the Treatment of Heart Diseases

Neto¹,

Melo²,

Silva³

et al. 2014

Arquivos Brasileiros De Cardiologia

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“…In patients with mitral valve disease or congenital heart disease, we performed right minithoracotomy of 3-5 cm in the fourth left intercostal space, in these cases we chose the inframammary or periareolar access, as the anatomical possibility and physical constitution [13,14] (Figure 3). …”

Section: Mitral Valve Diseasementioning

confidence: 99%

Cirurgia cardíaca videoassistida

Júnior¹,

Pereira²,

Martins³

et al. 2012

Rev Bras Cir Cardiovasc

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“…From the opening of the right atrium until its closure, the CO 2 insufflation flow rate of 3 liters / min was maintained, with the goal of reducing the possibility of air embolism [3].…”

Section: Fig 1 -Preoperative Marking and Locations For Introduction:mentioning

confidence: 99%

Robotic assisted minimally invasive surgery for atrial septal defect correction

Poffo¹,

Celullare²,

Pope³

et al. 2012

Revista Brasileira De Cirurgia Cardiovascular

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Descriptors: Heart septal defects, atrial. Surgical procedures, minimally invasive/methods. Robotics.Descritores: Comunicação interatrial. Procedimentos cirúrgicos minimamente invasivos/métodos. Robótica. CHARACTERIZATION OF PATIENTThe characteristics of the patient are: female, 24 years old, 55 kg. She came to our department with complaints of fatigue and palpitations. She denied any associated disease or medication use. On physical examination, the patient was eutrophic, eupneic at rest, without edema. No alterations of pulmonary auscultation and cardiac auscultation revealed a sinus rhythm, with pulmonary systolic murmur with fixed splitting of 2nd heart sound. Resting blood pressure (BP) was: 100/70 millimeters of mercury (mmHg).The chest radiograph showed normal heart size and increased pulmonary vasculature. Echocardiography revealed a normal left atrial dimension (LA) of 2.9 centimeters (cm) and left ventricular (LV) diameter within normality (LV Systolic Diameter: 2.5 cm -LV Diastolic Diameter: 4.2 cm ) and normal myocardial thickness. The other cavities were also normal. The presence of interatrial comunication (IAC) secundum ostium type showed the Doppler that the shunt with unidirectional flow of LA to the right. The ejection fraction was estimated at 72% (Simpson). The pulmonary artery pressure was estimated at 40 mmHg and increased pulmonary blood flow: 1.5 cm /second (cm/s).The electrocardiogram showed sinus rhythm with right bundle branch block.After discussing the clinical case, the surgery to repair the IAC was indicated. In a conversation with the patient after the explanation of the techniques type available to the IAC and also signed informed consent, she chose the robot-assisted minimally invasive approach [1].Surgical correction consisted of atrial septal defect with a bovine pericardial patch. The duration of extracorporeal circulation (EC) was 63 minutes (min) and aortic clamping, 38 min.The patient was extubated in the operating room; the postoperative bleeding was 340 milliliters (ml), length of ICU stay of 14 hours, had a great postoperative evolution and was discharged on the 2nd day after surgery. On the discharge day, the echocardiogram showed a normal ventricular function and an intact atrial septum, with well positioned patch without residual shunt.

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Plastia valvar mitral minimamente invasiva videoassistida: abordagem periareolar

Cited by 19 publications

References 3 publications

Minimally Invasive Procedures - Direct and Video-Assisted Forms in the Treatment of Heart Diseases

Minimally Invasive Procedures - Direct and Video-Assisted Forms in the Treatment of Heart Diseases

Cirurgia cardíaca videoassistida

Robotic assisted minimally invasive surgery for atrial septal defect correction

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