Mitral Valve Replacements Under On-Pump Beating Heart and Lung Perfusion/Ventilation Using a Minithoracotomy: An Experience with 11 Cases
| Autor: | Zhaoke Wen, Shengjin Liang, Changchao Lu, Ansheng Mo, Hui Lin |
|---|---|
| Rok vydání: | 2012 |
| Předmět: |
Adult
Male medicine.medical_specialty Mitral Valve Annuloplasty medicine.medical_treatment Periprosthetic law.invention law Internal medicine medicine.artery Mitral valve Ascending aorta medicine Cardiopulmonary bypass Humans Minimally Invasive Surgical Procedures Heart Valve Prosthesis Implantation Mechanical ventilation business.industry Extracorporeal circulation Mitral valve replacement Mitral Valve Insufficiency Combined Modality Therapy Respiration Artificial Surgery Treatment Outcome medicine.anatomical_structure Thoracotomy cardiovascular system Breathing Cardiology Female Cardiology and Cardiovascular Medicine business |
| Zdroj: | The Heart Surgery Forum. 15:133 |
| ISSN: | 1522-6662 1098-3511 |
| DOI: | 10.1532/hsf98.20121013 |
| Popis: | Background: The primary aims of minimally-invasive cardiac valve surgery are to lessen the impact of the incision, extracorporeal circulation, myocardial ischemia, and pulmonary ischemia, to obtain satisfactory therapeutic results, and to allow a quicker rehabilitation. In this study, the feasibility of minimally-invasive mitral valve replacements without ascending aorta and vena cava cross-clamping under beating heart was evaluated by surveying 11 patients.Methods: Preoperative risk factors, intraoperative techniques, and postoperative complications were surveyed and evaluated for one year (April 1, 2009 to March 30, 2010) in 11 patients who had undergone beating-heart mitral valve replacement surgery at The People's Hospital of Guangxi Zhuang Autonomous Region. Minithoracotomy and femoral arterial cannulation procedures were used in the surgeries for cardiopulmonary bypass (CPB) without ascending aorta and vena cava cross-clamping.Results: The operations were performed successfully in all 11 patients. The CPB time was 52.80 � 11.36 minutes; the mean postoperative mechanical ventilation assistance time was 8.20 � 2.84 hours; and the mean transfusion volume of red cells was 2.20 � 1.04 units. There were no cerebral complications, no periprosthetic leakage, no occurrence of permanent high-degree atrioventricular blockage, and no mortality.Conclusion: Mitral valve replacement on the beating heart using a minithoracotomy and femoral arterial cannulation for CPB without ascending aorta and vena cava crossclamping under pulmonary ventilation is feasible. A larger number of patients are required to further characterize the efficacy and safety of this procedure. |
| Databáze: | OpenAIRE |
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