Initial experience with minimally invasive cardiac operations

Costa, Francisco Diniz Affonso da; Winter, Guilherme; Ferreira, Andrea Dumsch de Aragon; Fernandes, Tadeu Augusto; Collatusso, Claudinei; Tremel, Fernanda Tome; Farias, Fabio Rocha; Fornazari, Daniele de Fátima

doi:10.5935/1678-9741.20120066

Cited by 5 publications

(9 citation statements)

References 23 publications

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“…Surgical management of cardiac myxoma is similar to that of the valvular disorders in the pregnant patients, even with minimally invasive cardiac surgical techniques [ 55 ] . Nevertheless, surgical indications of both conditions can be somehow different from each other.…”

Section: Discussionmentioning

confidence: 99%

Cardiac myxoma in pregnancy: a comprehensive review

Yuan¹

2015

Revista Brasileira De Cirurgia Cardiovascular

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ObjectiveCardiac myxoma in pregnancy is rare and the clinical characteristics of this entity have been insufficiently elucidated. This article aims to describe the treatment options and the risk factors responsible for the maternal and feto-neonatal prognoses.MethodsA comprehensive search of the literature of cardiac myxoma in pregnancy was conducted and 44 articles with 51 patients were included in the present review.ResultsTransthoracic echocardiography was the most common diagnostic tool for the diagnosis of cardiac myxoma during pregnancy. Cardiac myxoma resection was performed in 95.9% (47/49); while no surgical resection was performed in 4.1% (2/49) patients (P=0.000). More patients had an isolated cardiac myxoma resection in comparison to those with a concurrent or staged additional cardiac operation [87.2% (41/47) vs. 12.8% (6/47), P=0.000]. A voluntary termination of the pregnancy was done in 7 (13.7%) cases. In the remaining 31 (60.8%) pregnant patients, cesarean section was the most common delivery mode representing 61.3% and vaginal delivery was more common accounting for 19.4%. Cardiac surgery was performed in the first, second and third trimester in 5 (13.9%), 14 (38.9%) and 17 (47.2%) patients, respectively. No patients died. In the delivery group, 20 (76.9%) neonates were event-free survivals, 4 (15.4%) were complicated and 2 (7.7%) died. Neonatal prognoses did not differ between the delivery modes, treatment options, timing of cardiac surgery and sequence of cardiac myxoma resection in relation to delivery.ConclusionThe diagnosis of cardiac myxoma in pregnancy is important. Surgical treatment of cardiac myxoma in the pregnant patients has brought about favorable maternal and feto-neonatal outcomes in the delivery group, which might be attributable to the shorter operation duration and non-emergency nature of the surgical intervention. Proper timing of cardiac surgery and improved cardiopulmonary bypass conditions may result in even better maternal and feto-neonatal survivals.

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Section: Discussionmentioning

confidence: 99%

Cardiac myxoma in pregnancy: a comprehensive review

Yuan¹

2015

Revista Brasileira De Cirurgia Cardiovascular

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“…9 In another study of Costa male was 45(47%) and female 50(53%). 8 It was 52.6% male and 47.4% female in the study done by Iribarne. 7 According to age distribution, maximum number of patients (12) was in the range of 11-15 year age group followed by 9 cases each in 16-20 year and 21-30 year age group.…”

Section: Discussionmentioning

confidence: 83%

“…7 In another study of Costa, ASD was 24(84%), Aortic valve replacement (AVR) 32, mitral valve repair 12. 8 Regarding sex distribution, 25(64.11%) were female and 14(35.89%) were male. In the study of Barbero male were 503(51.8%).…”

Section: Discussionmentioning

confidence: 98%

“…10 In the study of Iribarne , mean age was 57.2±15.1 years, more than 70 years 214 cases and 48 cases who were more than 80 years. 7 In case of Costa mean age was 55±15 years and in the study done by Barbero, mean age was 62.5 8,9 Regarding surgical approaches, we opted right anterolateral thoracotomy in maximum 27(67.50%) cases and left anterolateral thoracotomy in 10 cases (25.00%). In another study of Costa , ministernotomy was 8(8%), right anterolateral thoracotomy 8(%) and 42 cases in minithoracotomy.…”

Section: Discussionmentioning

confidence: 99%

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Demographic and Surgical Profile of the Patients Underwent Minimally Invasive Cardiac Surgery in a Rural Center of Bangladesh

Ahsan¹,

Rahman²,

Islam³

et al. 2021

KYAMC j.

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Background: Ever Since its inception , minimally invasive cardiac surgery is growing rapidly for better convenience and superb post operative outcome. As newer instruments, surgical technique and operative exposure are increasing more and more patients are demanding minimally invasive cardiac surgery. Objective: The study was conducted to evaluate the various pre operative and peroperative factors in minimally invasive cardiac surgery. Materials and Methods: A retrospective observational study on the patients who underwent minimally invasive cardiac surgery in the department of cardiovascular and thoracic surgery, Khwaja Yunus Ali Medical College, Sirajganj, Bangladesh from January 2016 to December 2020. Results: A total of 40 cases were operated through minimally invasive cardiac surgery in our department. Maximum number of cases was Atrial septal defect(ASD), and minimally invasive direct coronary artery bypass (MIDCAB). About 62.50% were female, majority of patients were in the range of 11-15 years. Right anterolateral thoracotomy was done in 27 cases and left anterolateral thoracotomy in 10 cases. The maximum number of cannulation done in femoral artery and femoral vein, followed by direct superior vena caval cannulation and only a single percutaneous superior venacaval cannulation through internal jugular vein. In 14 cases the length of incision was in the range of 3-4 cm and 12 cases in 4-5cm. Conclusion: Minimally invasive cardiac surgery is now becoming more demanding. As more and more centers are opening the door to newer technology, common people are also becoming conscious about its excellent post operative outcome. KYAMC Journal.2021;12(02): 71-74

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“…More recently, some studies have suggested that it reduces mortality in specific groups of heart patients, including patients undergoing mitral reoperation, obese patients, and elderly patients undergoing aortic procedures. 9 Adapting what has been described for elective heart surgery, this case presents use of a safe access in a vascular trauma.…”

Section: Discussionmentioning

confidence: 93%

Esternotomia parcial para tratamento de lesão iatrogênica do tronco braquiocefálico durante traqueostomia

2018

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Resumo A toracotomia mediana é uma via de acesso que atravessa longitudinalmente o esterno e pode ser subdividida em vertical total, parcial superior e parcial inferior. Na prática cirúrgica, o uso da esternotomia mediana parcial é uma alternativa que proporciona menor agressão cirúrgica. O tronco braquiocefálico é um dos grandes vasos torácicos mais acometidos em traumas e sua abordagem classicamente é feita por esternotomia mediana. Neste trabalho, apresenta-se o uso da esternotomia parcial superior em “T” invertido como possibilidade de via de acesso em situação de lesão traumática iatrogênica do tronco braquiocefálico.

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Initial experience with minimally invasive cardiac operations

Cited by 5 publications

References 23 publications

Cardiac myxoma in pregnancy: a comprehensive review

Cardiac myxoma in pregnancy: a comprehensive review

Demographic and Surgical Profile of the Patients Underwent Minimally Invasive Cardiac Surgery in a Rural Center of Bangladesh

Esternotomia parcial para tratamento de lesão iatrogênica do tronco braquiocefálico durante traqueostomia

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