Right Ventricular Function After Minimally Invasive Mitral Valve Surgery
| Autor: | Andrea Montisci, Alice Bonomi, Daniele Fileccia, Federico Pappalardo, Sergio Pirola, Emad Al Jaber, Gianluca Polvani, Giorgio Mastroiacovo, Gianluigi Bisleri |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment law.invention Postoperative Complications law Minimally invasive cardiac surgery Cardiopulmonary bypass Medicine Humans Minimally Invasive Surgical Procedures In patient Cardiac Surgical Procedures Retrospective Studies Heart Valve Prosthesis Implantation Ventricular function business.industry Length of Stay Sternotomy Cardiac surgery Surgery Anesthesiology and Pain Medicine Treatment Outcome Median sternotomy Propensity score matching Ventricular Function Right Mitral Valve Cardiology and Cardiovascular Medicine business Mitral valve surgery |
| Zdroj: | Journal of cardiothoracic and vascular anesthesia. 36(4) |
| ISSN: | 1532-8422 |
| Popis: | Right ventricular (RV) dysfunction is a significant cause of morbidity and mortality after cardiac surgery. Minimally invasive mitral valve surgery (MIMVS) increasingly is being performed. The authors aim was to evaluate postoperative RV function in patients who underwent MIMVS versus traditional mitral valve surgery.Six hundred seventy-five patients who underwent elective isolated mitral valve surgery at Centro Cardiologico Monzino from January 2016 to December 2019 were analyzed. After 1:1 propensity score matching, 60 patients were identified in the MIMVS (study group A) and 58 patients in the median sternotomy (control group B) and compared.A university-affiliated scientific institute, monocentric.Patients.Mitral valve surgery.No in-hospital deaths occurred. Aortic cross-clamp time (102 [87.5-119] v 83 [61-109] minutes, p = 0.0001), cardiopulmonary bypass duration (161.5 [142.5-181] v 105.5 [74-134] minutes, p0.0001) and intensive care unit stay (47 [44-72] v 45 [40-47] hours, p = 0.0015) were significantly longer in group A. The tricuspid annular plane systolic excursion was not different between group A and group B neither postoperatively (15 ± 3 v 14 ± 4 mm, p = 0.1) nor at three-month follow-up (18 ± 4 v 15 ± 3 mm, p = 0.3). No differences in peak postoperative lactates, inotropic score, central venous pressure, and pulmonary artery pulsatility index were observed. The length of hospital stay was significantly shorter in the minimally invasive group (ten [eight-13] v 12 [ten-17], p = 0.006).The authors study showed that the surgical strategy had no significant impact on postoperative RV function after mitral valve surgery. |
| Databáze: | OpenAIRE |
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