A clinical study of thoracoscopy-assisted mitral valve replacement concomitant with tricuspid valvuloplasty, with domestically manufactured pipeline products for cardiopulmonary bypass

Cao, Hua; Chen, Qiang; Li, Qianzhen; Zhang, Gui-Can; Chen, Dao-zhong; Qiu, Zhihuang; Hu, Yunnan; He, Jiajun

doi:10.1186/s13019-014-0160-2

Cited by 3 publications

(3 citation statements)

References 15 publications

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“…The patient was eventually weaned off the CPB. A chest tube was placed via incision 4 for closed-chest drainage [8,20] .…”

Section: Methodsmentioning

confidence: 99%

“…Traditional open-chest surgery has the advantage of good exposure of the surgical field, which can markedly shorten cardiac arrest and cardiopulmonary bypass (CPB) times, but also has disadvantages of large surgical wounds, more bleeding, severe pain, and slow postoperative recovery [7,8] . Total thoracoscopic and thoracoscopic-assisted cardiac surgery have emerged in recent years [9-11] .…”

Section: Introductionmentioning

confidence: 99%

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Minimally Invasive Video-assisted Mitral Valve Replacement with a Right Chest Small Incision in Patients Aged Over 65 Years

Chen¹,

Liu²,

Zhang³

et al. 2019

Braz J Cardiovasc Surg

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Objective To analyze and summarize the clinical safety and feasibility of minimally invasive video-assisted mitral valve replacement via a right thoracic minimal incision in patients aged over 65 years. Methods The clinical data of 45 patients over 65 years old who had mitral valve disease were analyzed retrospectively from January 2014 to January 2017 at Union Hospital, Fujian Medical University. The patients were divided into two groups; 20 patients in group A, who underwent minimally invasive video-assisted mitral valve replacement via a right thoracic minimal incision, and 25 patients in group B, who underwent conventional mitral valve replacement. We collected and analyzed their relevant clinical data. Results The operation was completed successfully in both groups. Compared with group B, group A was clearly superior for postoperative analgesia time, postoperative hospital length of stay, thoracic drainage liquid, blood transfusion, and length of incision. There were no differences between the two groups in postoperative severe complications and mortality. More patients in group B had pulmonary infections and poor incision healing, while more patients in group A had postoperative pneumothorax and subcutaneous emphysema. Conclusion In patients aged over 65 years, minimally invasive video-assisted mitral valve replacement with a small incision in the right chest had the same clinical safety and efficacy as the conventional method.

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“…The patient was eventually weaned off the CPB. A chest tube was placed via incision 4 for closed-chest drainage [8,20] .…”

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Minimally Invasive Video-assisted Mitral Valve Replacement with a Right Chest Small Incision in Patients Aged Over 65 Years

Chen¹,

Liu²,

Zhang³

et al. 2019

Braz J Cardiovasc Surg

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show abstract

“…The patient was eventually weaned off of the cardiopulmonary bypass (CPB). A chest tube was placed via incision 3 for closed-chest drainage [ 5 ].…”

Section: Methodsmentioning

confidence: 99%

Thoracoscope-Assisted Mitral Valve Replacement with a Small Incision in the Right Chest: A Chinese Single Cardiac Center Experience

et al. 2018

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BackgroundThe aim of this study was to investigate the safety, feasibility, and clinical effectiveness of thoracoscopy-assisted mitral valve replacement via thoracic right-anterior minimal incision.Material/MethodsA retrospective analysis was conducted of 225 patients with mitral valve lesions who were treated in our hospital from August 2012 to August 2015. Group A included 105 patients undergoing thoracoscopy-assisted mitral valve replacement via a thoracic right-anterior minimal incision, and group B included 120 patients undergoing conventional mitral valve replacement. We collected and analyzed clinical data from both groups.ResultsThe procedures were successful in patients of both groups. No severe complications or mortality were reported. Postoperative mechanical ventilation time (8.6±2.4 h vs. 12.4±3.2 h), duration of intensive care (1.7±1.2 d vs. 2.8±1.3 d), duration of postoperative analgesia use (28.7±8.9 h vs. 36.3±7.5 h), postoperative length of hospital stay (8.2±2.2 d vs. 12.8±2.1 d), pleural fluid drainage (210.5±60.5 ml vs. 425.4±75.6 ml), blood transfusion amount (420.5±80.4 ml vs. 658.3±96.7 ml), and operative incision length (4.7±1.1 cm vs. 22.4±2.5 cm) were significantly shorter (or lower) in group A than in group B. There were different advantages and disadvantages in the 2 kinds of operative procedure in terms of postoperative complications.ConclusionsThoracoscopy-assisted mitral valve replacement via thoracic right-anterior minimal incision has the same clinical efficacy, safety, and feasibility as conventional mitral valve replacement.

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Tricuspid Valve Disease: Surgical Outcome

Veen

Etnel

Takkenberg

2018

Practical Manual of Tricuspid Valve Diseases

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A clinical study of thoracoscopy-assisted mitral valve replacement concomitant with tricuspid valvuloplasty, with domestically manufactured pipeline products for cardiopulmonary bypass

Cited by 3 publications

References 15 publications

Minimally Invasive Video-assisted Mitral Valve Replacement with a Right Chest Small Incision in Patients Aged Over 65 Years

Minimally Invasive Video-assisted Mitral Valve Replacement with a Right Chest Small Incision in Patients Aged Over 65 Years

Thoracoscope-Assisted Mitral Valve Replacement with a Small Incision in the Right Chest: A Chinese Single Cardiac Center Experience

Tricuspid Valve Disease: Surgical Outcome

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