Does minimal invasive cardiac surgery reduce the incidence of post-operative atrial fibrillation?
| Autor: | Konstantinos Triantafillou, Maria Maimari, Stelios Gaitanakis, Vasileios Lozos, Andreas Katsaros, Charilaos Kantsos, Nikolaos G Baikoussis, Anna Dalipi-Triantafillou |
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| Rok vydání: | 2020 |
| Předmět: |
Hybrid cardiac surgery
lcsh:Diseases of the circulatory (Cardiovascular) system medicine.medical_specialty Review Article mini sternotomy lcsh:RD78.3-87.3 Coronary artery disease Postoperative Complications Internal medicine Atrial Fibrillation medicine Humans Minimally Invasive Surgical Procedures Cardiac Surgical Procedures minimal invasive cardiac surgery business.industry Incidence Atrial fibrillation General Medicine Perioperative hybrid cardiac surgery valve surgery medicine.disease Cardiac surgery Anesthesiology and Pain Medicine lcsh:Anesthesiology lcsh:RC666-701 Parasternal line Cardiology Etiology Cardiology and Cardiovascular Medicine Complication business |
| Zdroj: | Annals of Cardiac Anaesthesia Annals of Cardiac Anaesthesia, Vol 23, Iss 1, Pp 7-13 (2020) |
| ISSN: | 0974-5181 |
| Popis: | Atrial fibrillation (AF) is the most common post-operative complication and tends to be the most common arrhythmia after cardiac surgery. The etiology and risk factors for post-operative AF are poorly understood, but older age, large left atrium, diffuse coronary artery disease, a history of AF paroxysms and in general, pre-existing cardiac conditions that cause restricting and susceptibility towards inflammation have been consistently linked with post-operative atrial fibrillation (POAF). It has been traditionally thought that post-operative AF is transient, well-tolerated, benign to the patient and self-limiting complication of cardiac surgery that was temporary and easily treated. However, recent evidence suggests that POAF may be more “malignant” than previously thought, associated with follow-up mortality and morbidity. Several minimally invasive approaches, including the right parasternal approach, upper and lower mini-sternotomy (MS), V-shaped, Z-shaped, inverse-T, J-, reverse-C and reverse-L partial MS, transverse sternotomy and right mini-thoracotomy, have been developed for cardiac surgery operations since 1993 and have been associated with better outcomes and lower perioperative morbidity compared to full sternotomy (FS). The common goal of several minimally invasive approaches is to reduce invasiveness and surgical trauma. According to a statement from the American Heart Association (AHA), the term “minimally invasive” refers to a small chest wall incision that does not include a FS. This review is aimed to evaluate the use of minimally invasive techniques like mini-sternotomy, mini-thoracotomy and hybrid techniques versus conventional techniques which are used in cardiac surgery and to compare the frequency of post-operative AF and its effect on post-operative complications, morbidity and mortality, after cardiac surgery operations with FS versus cardiac surgery operations with the use of minimally invasive techniques. |
| Databáze: | OpenAIRE |
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