VATS for complete dissection of LIMA in minimally invasive coronary artery bypass grafting

Jatene, Fábio Biscegli; Pêgo-Fernandes, Paulo Manuel; Hayata, A. L. S.; Arbulu, Hector E.V.D.; Na, Stolf; Oliveira, Sérgio Almeida de; Kalil, Roberto; Hueb, Whady; Jatene, Adib

doi:10.1016/s0003-4975(97)00427-x

Cited by 18 publications

(10 citation statements)

References 13 publications

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“…Nowadays, mitral valve surgery and correction of atrial septal defects surgery are performed with the same safety for the patient, as previously demonstrated 11-15 . This benefit could be extended to other procedures: removal of cardiac tumors, surgical ablation, arrhythmia, pericardial procedures and dissection of grafts.…”

Section: Discussionmentioning

confidence: 90%

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: 90%

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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“…We used videothoraccoscopy or dissection of left internal thoracic artery and left anterior minithoracotomy for coronary implantation. Several authors have used this technique including Brazil [28,52], but the greatest advances in minimally invasive CABG have been shown today. Surgical procedures using robotics have allowed for multivessel coronary revascularization, in a totally endoscopic manner [53,54].…”

Section: Discussionmentioning

confidence: 99%

Cirurgia cardíaca videoassistida

Júnior¹,

Pereira²,

Martins³

et al. 2012

Rev Bras Cir Cardiovasc

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“…3,4 Recently, several cardiovascular surgical teams directed their attention to minimally invasive CABG to offer new horizons in cardiac surgery as well as to eliminate the effects of CPB. [5][6][7][8][9][10]14 Preparation of the patient as for open heart surgery gives the surgeon more choices during the operation and makes it easier to decide on aggressive treatment of any complication or to switch to an open heart procedure. During cardiac manipulation or coronary anastomosis,…”

Section: Discussionmentioning

confidence: 99%

“…3,4 Recently, cardiac surgeons have directed their attention to minimally invasive procedures, including off-pump coronary bypass through a median sternotomy or thoracotomy, port-access coronary bypass or video-assisted thoracoscopic coronary bypass. [5][6][7][8][9][10] Patient selection criteria and indications for use of these techniques have not been examined in detail. Although several large series have been reported, late postoperative angiographic data have been limited, and patient selection criteria has not been based specifically on long-term results.…”

Section: Introductionmentioning

confidence: 99%

Coronary Artery Bypass Grafting without Cardiopulmonary Bypass

Tezcaner

Yorgancioglu

Çatav

et al. 2000

Asian Cardiovasc Thorac Ann

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Between March 1994 and April 1998, 2869 patients underwent coronary artery bypass grafting at our institution. Of these, 415 (14.5%) with a mean age of 54.4 ± 9.9 years were operated on without cardiopulmonary bypass. Internal thoracic artery was used in 402 cases (97%) and the left anterior descending artery was revascularized in all except 1. Distal anastomoses ranged from 1 to 3, with a mean of 1.45 ± 0.58. Major postoperative complications comprised reoperation because of internal thoracic artery spasm in 1 patient, lower extremity ischemia due to intraaortic balloon pumping in 1 patient, revision for excessive bleeding in 3, and perioperative myocardial infarction in another 3. Hospital mortality was 1.2% (5 deaths). Coronary angiography was performed in 38 patients, 1 to 44 months postoperatively. Examination of 56 distal anastomoses revealed a patency rate of 86.1% for internal thoracic artery grafts and 55% for saphenous vein grafts. It was concluded that coronary bypass surgery without cardiopulmonary bypass gave favorable results in the early postoperative period. However, considering the late graft patency rates, either patient selection or the technique should be reevaluated.

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VATS for complete dissection of LIMA in minimally invasive coronary artery bypass grafting

Cited by 18 publications

References 13 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

Coronary Artery Bypass Grafting without Cardiopulmonary Bypass

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