Immediate and long-term results of mitral prosthetic replacement using a right thoracotomy beating heart technique

Thompson, Maxwell; Behranwala, Ali Asgar; Campanella, C.; Walker, William S.; Cameron, Evan Wm.

doi:10.1016/s1010-7940(03)00188-x

Cited by 58 publications

(85 citation statements)

References 8 publications

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“…5 Indeed, Thompson et al reported excellent results in 125 patients (22 patients with previous CABG) who underwent mitral valve replacement using a right thoracotomy beating heart technique. 17 We mainly used cardiac arrest and systemic cooling in the present study and were satisfied with the cardiac outcome as evidenced by the absence of perioperative infarction. Byrne et al reported similar results in 21 patients operated on via right anterolateral thoracotomy.…”

Section: Discussionmentioning

confidence: 93%

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Endoscopic Mitral and Tricuspid Valve Surgery After Previous Cardiac Surgery

et al. 2007

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Section: Discussionmentioning

confidence: 93%

“…An anterolateral right thoracotomy avoids the dissection of patent grafts, thereby reducing operative risk. 16,17 However, a possible downside of this approach may be the risk for suboptimal myocardial protection. This is why 2 patients underwent a hybrid approach.…”

Section: Discussionmentioning

confidence: 99%

Endoscopic Mitral and Tricuspid Valve Surgery After Previous Cardiac Surgery

et al. 2007

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“…It also decreases the potential damage risk to cardiac tissue and main vascular tissue, especially the right ventricle. Valve disease in patients with patent grafts and in no need of CABG could be served by RAMT as well (10). Patients in the RAMT group easily recovered because of their relatively intact thoraxes that offered earlier mobilization and return to the activities of daily life.…”

Section: Discussionmentioning

confidence: 99%

Benefits of a right anterolateral minithoracotomy rather than a median sternotomy in isolated tricuspid redo procedures

et al. 2017

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Background:To compare results of tricuspid valve (TV) reoperation between incision via a right anterolateral minithoracotomy (RAMT) and median sternotomy (MS). Methods:We performed a retrospective analysis of 49 patients who underwent isolated TV surgery as a reoperation at our institution between 2006 and 2015. Previous cardiac operations included mitral, aortic, and TV surgeries, atrial septal defect repair, and pericardiectomy. The mean age of the patients was 51.9±12.8 years, 14 (28%) were male and 35 (72%) were female. Follow-up was 95% (38/40) complete, with a mean duration of 41.3±19.5 months.Results: Perioperative demographic and laboratory tests did not show any significant differences between the RAMT and MS groups. The drainage volume, total red cell unit, total serum volume and platelet were significantly different 1150±803.5/2,270±1,920, 4.8±4.1/8.7±8.9, 478.2±488.9/950.0±857.6, 0.04±0.21/0.38±0.64 (P<0.05), while other perioperative data were similar. There were no significant differences in early postoperative death and complications between the RAMT and MS groups.A multivariate linear regression analysis predicted that serum creatinine (Scr), age, and MS group were independent risk factors for bleeding. The Cox regression demonstrated that the MS group had a longer drainage duration (P<0.05) and had a relative hazardous risk (HR) of 2.691 (1.328, 5.450 CI) compared with the RAMT group. Conclusions:The RAMT approach is an alternative, safe, and feasible procedure for isolated TV reoperation. It has the advantages of less drainage and reduced requirement for blood products.

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“…Complication rates are low and perioperative mortality was shown to be lower than that generally reported with conventional surgery. 44) Minimally invasive mitral valve reoperations, which were performed in 181 consecutive patients by right-sided lateral minithoracotomy with femoral cannulation for CPB is a useful alternative for patients requiring a mitral valve procedure after previous cardiac surgery, particularly in patients with patent coronary bypass grafts or previous AVR. 45) Port-access video-assisted right mini-thoracotomy also allows for good results in a difficult subset of patients.…”

Section: Redo Mitral Valve Replacementmentioning

confidence: 99%

Redo Valve Surgery—Current Status and Future Perspectives

Furukawa

Tanemoto

2014

ATCS

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Surgeons are now facing the challenge of redo valve surgery because of the increasing number of elderly individuals in Japan. The incidence of bioprosthesis dysfunction has increased among the various surgical indications of redo valve surgery due to the preference of patients and a paradigm shift in prostheses from mechanical valves to bioprostheses. Previous studies reported that the clinical outcomes of reoperative valvular surgery have markedly improved due to the maneuver of myocardial protection, cardiopulmonary bypass strategies, and appropriate safer surgical approach. The general surgical outcomes of redo valve surgery have been reported as being similar to those of primary valve surgery; however, this is still controversial and has not yet been confirmed in some developed countries. Although the unique surgical technique of transcatheter valve-in-valve implantation for bioprosthetic dysfunction is promising, redo valve surgery may become more prevalent in the future. We here reviewed the current status of reoperative valve surgery and future perspectives including catheter-based surgical interventions.

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Immediate and long-term results of mitral prosthetic replacement using a right thoracotomy beating heart technique

Cited by 58 publications

References 8 publications

Endoscopic Mitral and Tricuspid Valve Surgery After Previous Cardiac Surgery

Endoscopic Mitral and Tricuspid Valve Surgery After Previous Cardiac Surgery

Benefits of a right anterolateral minithoracotomy rather than a median sternotomy in isolated tricuspid redo procedures

Redo Valve Surgery—Current Status and Future Perspectives

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