Mitral valve surgery using right anterolateral thoracotomy: is the aortic cannulation a safety procedure?

Guedes, Marco Antonio Vieira; Pomerantzeff, Pablo Maria Alberto; Brandão, Carlos Manuel de Almeida; Vieira, Marcelo Luiz Campos; Grinberg, Max; Stolf, Noedir Antônio Groppo

doi:10.1590/s0102-76382010000300007

Cited by 3 publications

(3 citation statements)

References 7 publications

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“…They conclude that the epsilon aminocaproic acid was able to reduce the bleeding volume and the red-cell transfusion requirement in the immediate postoperative of patients submitted to mitral valve surgery. Guedes et al14 describe a technique and results of mitral valve treatment by right anterolateral thoracotomy using aortic cannulation for cardiac pulmonary bypass and claim it is a simple, safe, and reproducible technique. Guedes et al15 also analyzed cardiac morphology and function using real time tridimensional echocardiography in individuals submitted to mitral valve repair with Double Teflon technique.…”

Section: Introductionmentioning

confidence: 99%

A survey of recently published cardiovascular, hematological and pneumological original articles in the Brazilian scientific press

Patel¹,

Caramelli²,

Gomes³

2011

Clinics

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Recent original scientific contributions published in selected Brazilian periodicals and classifiable under cardiovascular and pulmonary subject categories cover a wide range of sub specialties, both clinical and exprimental. Because they appear in journals with only recently enhanced visibility, we have decided to highlight a number of specific items appeared in four Brazilian journals, because we understand that this is an important subsidy to keep our readership adequately informed. These papers cover extensive sub-areas in both fields.

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Section: Introductionmentioning

confidence: 99%

A survey of recently published cardiovascular, hematological and pneumological original articles in the Brazilian scientific press

Patel¹,

Caramelli²,

Gomes³

2011

Clinics

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“…As a result, the right anterolateral approach offered excellent visualization of the mitral and tricuspid valve structures due to a direct-line view [ 10 ]. Median sternotomy for access in reoperations of cardiac valve requires more extensive and time-consuming dissection of adhesions.…”

Section: Discussionmentioning

confidence: 99%

Right anterolateral thoracotomy: an attractive alternative to repeat sternotomy for high-risk patients undergoing reoperative mitral and tricuspid valve surgery

Cao

Zhou

Fan

et al. 2017

J Cardiothorac Surg

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BackgroundReoperative cardiac valve surgery via sternotomy is associated with a substantial morbidity and mortality. This study evaluated the right anterolateral thoracotomy for high-risk patients undergoing mitral and tricuspid valve redo procedures.MethodsOut of a series of 173 patients undergoing redo cardiac valve surgery, 24 patients were reoperative via the right anterolateral thoracotomy as the high-risk group on the basis of the proximity of the heart and great vessels to the sternum and the presence and location of patent bypass grafts.ResultsIn all cases, sternotomy was avoided. The mitral valve and tricuspid valve were replaced in 4 and 19 patients and repaired in 1 and 2 patients, respectively. Moreover, left atrial folding was performed in 5 patients. Mortality was 8.3%. All other patients had uneventful outcomes and normal valve function at follow-up.ConclusionsReoperative cardiac valve surgery can be performed safely using the right anterolateral thoracotomy in high-risk patients. It offers enough exposure. It minimizes the need for cardiac dissection, and thus, the risk for injury. Avoiding a high-risk resternotomy increases patients comfort and safety of redo mitral and tricuspid valve surgery.Electronic supplementary materialThe online version of this article (10.1186/s13019-017-0645-x) contains supplementary material, which is available to authorized users.

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“…It is considered that, in children, this approach does not impact or change in the development of the chest, the pectoral muscle and breast tissue, maintaining the continuity and integrity of the bony part of the chest. It would be a surgical option to prevent the installation of the deformity called pigeon breast [34][35][36][37][38].…”

Section: Cardiac Surgery Postoperative (Ccpo)mentioning

confidence: 99%

Cirurgia cardíaca pediátrica: o que esperar da intervenção fisioterapêutica?

Silva¹,

Feuser²,

Silva³

et al. 2011

Rev Bras Cir Cardiovasc

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This study aims to gather and present scientific evidence on the role of a physiotherapist in the pre, peri and postoperative of pediatric cardiac surgery. This professional is able to prevent, minimize or reverse possible respiratory dysfunction and motor sequelae resulting from these interventions. Studies discuss the involvement of respiratory system, specifically the clearance of bronchial secretions and ventilatory adequacy, as a result of surgical procedure. Scientific evidences suggest the effectiveness of physiotherapy in reducing indices of: pneumonia, atelectasis, hospitalization, sequelae deleterious, and length of bed restriction, beyond clinical improvement. These data confirm positive contribution of physiotherapeutic intervention in these surgeries.Descriptors: Physical Therapy Modalities. Cardiac Surgical Procedures. Heart Defects, Congenital. ResumoO objetivo deste estudo é reunir e apresentar evidências científicas sobre a atuação do fisioterapeuta nos períodos pré, peri e pós-operatório da cirurgia cardíaca pediátrica. Esse profissional está habilitado a prevenir, minimizar e reverter possíveis disfunções respiratórias e sequelas motoras decorrentes dessas intervenções. Estudos discutem o comprometimento do sistema respiratório, especificamente do clearance de secreção brônquica e da adequação ventilatória, resultantes do procedimento cirúrgico, havendo evidências científicas quanto à eficácia da fisioterapia na redução: dos índices de pneumonias, atelectasias, período de internação, sequelas deletérias, tempo de restrição ao leito, além da melhora clínica. Esses dados atestam a contribuição positiva da intervenção fisioterapêutica nessas cirurgias. Rev Bras Cir Cardiovasc 2011;26(2):264-72 Descritores

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Mitral valve surgery using right anterolateral thoracotomy: is the aortic cannulation a safety procedure?

Cited by 3 publications

References 7 publications

A survey of recently published cardiovascular, hematological and pneumological original articles in the Brazilian scientific press

A survey of recently published cardiovascular, hematological and pneumological original articles in the Brazilian scientific press

Right anterolateral thoracotomy: an attractive alternative to repeat sternotomy for high-risk patients undergoing reoperative mitral and tricuspid valve surgery

Cirurgia cardíaca pediátrica: o que esperar da intervenção fisioterapêutica?

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