The Preferable Use of Port Access Surgical Technique for Right and Left Atrial Procedures

Abstract

A 31-year-old woman who had undergone aortic and mitral valve replacement 1 year previously was hospitalized with suspected prosthetic valve endocarditis. Freestyle stentless aortic xenograft was successfully replaced using freestanding total aortic root replacement techniques at the left ventricular outflow tract position, and aorta-to-right coronary artery bypass was also applied with a saphenous vein graft. The patient developed multiple systemic problems during the preoperative and postoperative periods and was successfully treated with intensive interventions. She was discharged at the postoperative fourth month, and the following 28 months were uneventful.

Mitral valve surgery: Right lateral minithoracotomy or sternotomy? A systematic review and meta-analysis

“…We also performed a subanalysis of studies that exclusively used endoaortic balloon occlusion or a transthoracic crossclamp in the MIVS group. Studies from centers where MIVS procedures are performed mainly with the use of the endoaortic balloon occlusion 5,6,9,15,16,[18][19][20]26,28,29,32,33,35,36,38,42 reported stroke rates in favor of mitral valve CS. This is in contrast to studies from centers where the transthoracic aortic crossclamp was used predominantly.…”

“…Our meta-analysis showed no difference between the groups for renal insufficiency or the rate of postoperative atrial fibrillation. The rate of aortic dissection was significantly Figure E2) 28 (5609) [5][6][7][8][9][10][11][12][15][16][17][18][21][22][23][24]26,30,33,34,36,38,40,[43][44][45] 142.6 AE 26.5 107.7 AE 25.2 36.6 (31.2 to 41.9) <.001 99 .08…”

“…Crossclamping was predominantly performed; endoaortic balloon occlusion was performed in only 19 studies. 5,6,9,15,16,[18][19][20]26,28,29,32,33,35,36,3,42 In 16 studies, direct transthoracic crossclamping was predominantly used. 7,8,[10][11][12][21][22][23][24]30,34,40,41,45 In the rest of the studies (n ¼ 11), both modalities were used in the same proportion or it was not clearly stated which technique was mainly used.…”

Minimally invasive aortic valve replacement: an alternative to the conventional technique

“…This concept has been changing with the wider dissemination of the technique and best results in recent reports. The benefits of minimally invasive incisions are supported primarily with confirmation of reduction of hospital costs without harming the achieved results with median sternotomy [1][2][3].…”

Cirurgia cardíaca videoassistida

“…With the wider dissemination of technical and better results in recent reports, this concept has been changing. The benefits of smaller incisions are sustained mainly that the reduction in hospital costs, without prejudice to the results already achieved with median sternotomy [1][2][3].…”