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Two-Incision Totally Thoracoscopic Approach for Mitral Valve Replacement.
Zhao, Guochang; Gao, Jie; Liu, Yan; Gu, Song; Guo, Yulin; Xie, Bin; Su, Pi Xiong.
Afiliación
  • Zhao G; Department of Cardiac Surgery, Beijing Chaoyang Hospital, Capital Medical University, Ministry of Education.
  • Gao J; Department of Cardiac Surgery, Beijing Chaoyang Hospital, Capital Medical University, Ministry of Education.
  • Liu Y; Department of Cardiac Surgery, Beijing Chaoyang Hospital, Capital Medical University, Ministry of Education.
  • Gu S; Department of Cardiac Surgery, Beijing Chaoyang Hospital, Capital Medical University, Ministry of Education.
  • Guo Y; Department of Cardiac Surgery, Beijing Chaoyang Hospital, Capital Medical University, Ministry of Education.
  • Xie B; Department of Cardiovascular Surgery, Guangdong Cardiovascular Institute, Guangdong General Hospital, Guangdong Academy of Medical Sciences.
  • Su PX; Department of Cardiac Surgery, Beijing Chaoyang Hospital, Capital Medical University, Ministry of Education.
Int Heart J ; 58(6): 894-899, 2017 Dec 12.
Article en En | MEDLINE | ID: mdl-29118301
Totally thoracosopic mitral valve replacement (MVR) has been applied to mitral stenosis for many years. Three working ports are usually necessary, among which the longest port ranges from 6 to 8 cm. This study aimed to determine the safety and feasibility of the two-incision totally thoracoscopic approach for MVR, with the longest incision of 3 cm.From January 2014 to February 2016, 90 patients with mitral valve stenosis were retrospectively analyzed. Thirty-six (40%) patients were included in the two-incision group and 54 patients were operated on using the sternotomy approach. Perioperative variables and postoperative 3-month follow-up data were analyzed.All patients underwent MVR. Tricuspid valvuloplasty was performed in 23 (25.5%) patients with the Kay technique. The mean total surgery time, cardiopulmonary bypass, and cross-clamp times were longer in the two-incision group (266 ± 42 versus 200 ± 38 minutes; 156 ± 23 versus 121 ± 21 minutes; 100 ± 17 versus 80 ± 17 minutes, respectively) (P < 0.05). The mean postoperative mechanical ventilation time was shorter in the two-incision group (8.6 ± 2.5 versus 11.2 ± 2.6 hours, respectively) (P < 0.05). The mean volume of blood drainage was less in the two-incision group (497 ± 120 versus 730 ± 198 mL, respectively) (P < 0.05). Reopening occurred in one (sternotomy group, 1.8%) patient. No deaths, perivalvular leakage, infectious endocarditis, atelectasis of the lungs, or moderate tricuspid regurgitation were found at the 3-month follow-up.The two-incision totally thoracoscopic approach for MVR is safe and feasible. Concomitant tricuspid valvuloplasty can be conveniently performed. However, further clinical data are needed in future studies.
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Texto completo: 1 Banco de datos: MEDLINE Asunto principal: Toracoscopía / Prótesis Valvulares Cardíacas / Implantación de Prótesis de Válvulas Cardíacas / Válvula Mitral Tipo de estudio: Observational_studies Límite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: Int Heart J Asunto de la revista: CARDIOLOGIA Año: 2017 Tipo del documento: Article

Texto completo: 1 Banco de datos: MEDLINE Asunto principal: Toracoscopía / Prótesis Valvulares Cardíacas / Implantación de Prótesis de Válvulas Cardíacas / Válvula Mitral Tipo de estudio: Observational_studies Límite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: Int Heart J Asunto de la revista: CARDIOLOGIA Año: 2017 Tipo del documento: Article