[Surgical treatment of heart valve disease and cardiac tumors via the right-sided minithoracotomy].

Autor:	Evseev EP; Petrovsky Russian Scientific Center of Surgery, Moscow, Russia., Balakin EV; Petrovsky Russian Scientific Center of Surgery, Moscow, Russia., Aidamirov YA; Petrovsky Russian Scientific Center of Surgery, Moscow, Russia., Fomin MA; Petrovsky Russian Scientific Center of Surgery, Moscow, Russia., Ivanov VA; Petrovsky Russian Scientific Center of Surgery, Moscow, Russia., Belov YV; Petrovsky Russian Scientific Center of Surgery, Moscow, Russia.
Jazyk:	ruština
Zdroj:	Khirurgiia [Khirurgiia (Mosk)] 2021 (6. Vyp. 2), pp. 37-44.
DOI:	10.17116/hirurgia202106237
Abstrakt:	Objective: To evaluate the early outcomes of surgical treatment of heart valve disease and cardiac tumors via the right-sided minithoracotomy. Material and Methods: There were 77 interventions via the right-sided minithoracotomy for the period from 2017 to March 2021 (29 men (37.7%) and 48 women (62.3%) aged 50.9±13 years (95% CI 48-53.9)). Heart failure NYHA class III prevailed (45.5%). The following interventions were performed: mitral valve replacement - 32 (41.5%) patients, mitral valve repair - 22 (28.6%) patients, atrial septal defect closure - 13 (16.9%) patients, resection of the left atrial myxoma - 4 (5.2%) patients, atrial septal defect closure + tricuspid valve repair - 2 (2.6%) patients, tricuspid valve replacement - 2 (2.6%) patients, mitral valve repair + atrial septal defect closure - 1 (2.6%) patient, mitral valve repair + atrial septal defect closure + right middle lobectomy - 1 (2.6%) patient. Results: There were no in-hospital mortality and major cardiac events. Conversion was required in 1 case (1.3%). Enlargement up conventional to thoracotomy was required in 1 case (1.3%). Surgery time was 217 min (Q1-Q3 188-258), cardiopulmonary bypass time - 106 min (Q1-Q3 91-124), aortic cross-clamping time - 82±29 min (95% CI 76-89). Intraoperative blood loss was 500 ml (Q1-Q3 400-600). Mean postoperative hospital-stay was 6.7±1.8 days (95% CI 6.3-7.1). Conclusion: Heart valve surgery and resection of cardiac tumors via the right-sided minithoracotomy is a safe and effective approach to ensure chest stability, fast postoperative recovery and favorable cosmetic result. Surgery time is decreased along the learning curve.
Databáze:	MEDLINE
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