Periareolar Access for Minimally Invasive Cardiac Surgery the Brazilian Technique
| Autor: | Alisson Parrilha Toschi, Paola K Montanhesi, Renato Bastos Pope, Cláudio Alexandre Mokross, Robinson Poffo |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Male
Pulmonary and Respiratory Medicine medicine.medical_specialty medicine.medical_treatment 030204 cardiovascular system & hematology Periareolar 03 medical and health sciences 0302 clinical medicine Mitral valve medicine Minimally invasive cardiac surgery Endocarditis Humans Minimally Invasive Surgical Procedures Cardiac Surgical Procedures Mitral valve repair business.industry Thoracic Surgery Video-Assisted Atrial fibrillation General Medicine medicine.disease Surgery medicine.anatomical_structure Treatment Outcome 030228 respiratory system Cardiothoracic surgery Cardiovascular Diseases Nipples cardiovascular system Female Intercostal space business Cardiology and Cardiovascular Medicine |
| Zdroj: | Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery. 13:65-69 |
| ISSN: | 1559-0879 1556-9845 |
| DOI: | 10.1177/155698451801300114 |
| Popis: | The periareolar access has been the preferred technique used at our institution for minimally invasive cardiac surgery since 2006. The surgical approach consists of video-assisted minithoracotomy in the 4th right intercostal space, through a periareolar incision. Initially, the technique was restricted to minimally invasive mitral valve surgeries but, due to its feasibility and safety, was soon incorporated as an ideal access for other cardiac pathologies such as tricuspid valve disease, atrial septal defect, atrial fibrillation, and pacemaker leads endocarditis. The technique was performed in 214 patients, and it is associated with excellent aesthetic and functional results, with low morbimortality and no reoperations at long-term follow-up. Here, we describe and support the use of periareolar access as a routine surgical technique for correction of several cardiac pathologies, especially in women. |
| Databáze: | OpenAIRE |
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