Breast implants and minimally invasive cardiac surgery: a case series
| Autor: | Vaughn A. Starnes, T. JoAnna Nguyen, Regina Y. Baker, Alexander Wong, Craig J. Baker, Angela M. Hernandez |
|---|---|
| Rok vydání: | 2011 |
| Předmět: |
medicine.medical_specialty
Breast Implants Sodium Chloride law.invention Silicone Gels Aortic valve replacement law Mitral valve medicine Minimally invasive cardiac surgery Inframammary fold Humans Minimally Invasive Surgical Procedures Aged Retrospective Studies Aged 80 and over Heart Valve Prosthesis Implantation business.industry valvular heart disease Mitral Valve Insufficiency Aortic Valve Stenosis Middle Aged medicine.disease Surgery medicine.anatomical_structure Treatment Outcome Thoracotomy Aortic valve stenosis Breast implant Feasibility Studies Female Implant business Follow-Up Studies |
| Zdroj: | Annals of plastic surgery. 69(1) |
| ISSN: | 1536-3708 |
| Popis: | INTRODUCTION: The number of women affected by valvular heart disease and the number of women with breast implants are both on the rise. Minimally invasive heart surgery using a limited thoracotomy offers many potential benefits including reduction in blood loss, shorter hospital stay, faster recovery time, decreased pain, and improved cosmesis. Minimally invasive heart surgery often requires access to the second, third, or fourth intercostal space of the anterior chest wall. The presence of a breast implant may interfere with the surgeon's ability to gain adequate exposure for entry to the appropriate intercostal space. We present a case series of 5 women with breast implants who successfully underwent minimally invasive cardiac valve surgery. METHODS: A retrospective review was conducted of all patients with breast implants who underwent minimally invasive cardiac valve surgery at the University of Southern California University Hospital. In each patient, an inframammary incision was performed, facilitating removal of the implant, performance of the cardiac operation, and reimplantation of the implant. RESULTS: Five women with breast implants who underwent minimally invasive cardiac valve surgery were identified; of these, 4 (80%) patients underwent repair of the mitral valve for mitral regurgitation, whereas 1 (20%) underwent an aortic valve replacement for aortic stenosis. Two patients underwent a concomitant maze procedure for atrial fibrillation during the same operation. The median follow-up time was 7.4 months, and the follow-up period ranged from 2 to 12 months. There were no significant postoperative complications such as infection, hematoma, or need for reoperation. CONCLUSIONS: Our series of 5 patients demonstrates that minimally invasive heart surgery performed through an inframammary incision can be safely performed in those with breast implants. |
| Databáze: | OpenAIRE |
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