Troca valvar mitral minimamente invasiva videoassistida

Poffo, Robinson; Bonin, Marcos; Selbach, Rafael Armínio; Pilatti, M.

doi:10.1590/s0102-76382007000400017

Cited by 9 publications

(6 citation statements)

References 6 publications

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“…Some studies [10][11][12][13][14][15] have demonstrated that, in video-assisted surgeries, incisions can be smaller, visualization of the surgical field is improved, and long-term results are the same as those of conventional mitral valve surgery. Furthermore, there is substantial reduction in trauma, mechanical ventilation as well as hospital stay, so the patient can return to routine activities faster than in conventional surgeries, where the patient cannot drive for 45 days as opposed to 10 to 15 days in minimally invasive surgeries.…”

Section: Discussionmentioning

confidence: 99%

Minimally invasive redo mitral valve surgery without aortic crossclamp

Milani

Brofman

Oliveira

et al. 2013

Revista Brasileira De Cirurgia Cardiovascular

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Section: Discussionmentioning

confidence: 99%

Minimally invasive redo mitral valve surgery without aortic crossclamp

Milani

Brofman

Oliveira

et al. 2013

Revista Brasileira De Cirurgia Cardiovascular

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“…With the advent of videothoracoscopy, there was the possibility of ever smaller incisions or absence of them [19]. There are several factors that make this technique still unusual in our country [2].…”

Section: Discussionmentioning

confidence: 99%

“…The surgical approach depended on the pathology approached. In the case of mitral valve disease, videoassisted right anterolateral minithoracotomy was performed [2] (Figure 1) at an early stage and later the periareolar technique was adopted [3] (Figure 2). Patients were intubated using Carlens orotracheal tube for selective ventilation, and positioned with the right side of the chest occlusion was achieved through the use of Endoclamp (Estech Inc.) introduced via the femoral artery.…”

Section: Methodsmentioning

confidence: 99%

Cirurgia cardíaca videoassistida: resultados de um projeto pioneiro no Brasil

Poffo¹,

Pope²,

Selbach³

et al. 2009

Rev Bras Cir Cardiovasc

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Results: The surgical procedures were: plasty (n=20) or mitral valve replacement (n=36), aortic valve replacement (n=14), atrioseptoplasty using pericardial patch (n=32), tricuspid valve repair with rigid ring (n=6) and surgical correction of atrial fibrillation with radiofrequency (n=12). There were no complications during the procedures. There was no conversion to thoracotomy in neither case. Two patients developed atrial fibrillation in the postoperative period. There was an episode of stroke seven days after the hospital discharge and one death (0,9%) due to systemic inflammatory response syndrome (SIRS).Conclusion: This study demonstrates the coverage of pathologies that are possible to be approached by videoassisted cardiac surgery with cardiopulmonary bypass being a safe and effective procedure with low morbimortality. Minimally invasive video-assisted cardiac surgery is already a reality in Brazil, demonstrating excellent aesthetic and functional results. Rev Bras Cir Cardiovasc 2009; 24(3): 318-326 and transesophageal echocardiogram, ultrasound of the carotid arteries, abdominal, iliac and femoral arteries. In patients with suspicion of some obstruction of peripheral arteries, angiotomography of the thoracoabdominal aorta was requested. Special care was taken at the time of cardiac catheterization, avoiding puncturing the femoral vessels, giving preference to puncture of the radial artery and complete aortography was performed during the exam. After the first 40 cases, we included patients with an ejection fraction below 55%, emergencies, reoperations and obese patients.The age ranged from 18 to 68 years, and 57 patients were female (55.8%).

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“…We believe that the open mitral commissurotomy has advantages over the valvuloplasty balloon catheter [22,23], with lower incidence of postoperative complications and clinical outcomes consistent long-term, and the adoption of minimally invasive techniques [24,25], we can further improve these results and provide a treatment of the mitral valve with quality and aesthetic benefits.…”

Section: Ipo = Immediate Post-operativementioning

confidence: 99%

Evolução tardia da comissurotomia mitral em pacientes reumáticos com baixo escore ecocardiográfico

Souza¹,

Brandão²,

Pomerantzeff³

et al. 2011

Rev Bras Cir Cardiovasc

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(92%) and IV in one (2%). Forty six patients (92%) were in sinus rhythm and four (8%) were in atrial fibrillation. The mean mitral valve area was 0.9 ± 0.2 cm 2 . Results: There was no hospital mortality. There were two late deaths, one related to valve disease. Actuarial survival was 95.5 ± 3.1 %, freedom from reoperation was 62.3 ± 11,8% and freedom from tromboembolism was 88,2 ± 5,0% in 18 years. There was no endocarditis. The grade of the echocardiographic score had no significant influence on the reoperations in late evolution.Conclusion: Open mitral commissurotomy presented excelent long term results in rheumatic patients with low echocardiographic score.

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Troca valvar mitral minimamente invasiva videoassistida

Cited by 9 publications

References 6 publications

Minimally invasive redo mitral valve surgery without aortic crossclamp

Minimally invasive redo mitral valve surgery without aortic crossclamp

Cirurgia cardíaca videoassistida: resultados de um projeto pioneiro no Brasil

Evolução tardia da comissurotomia mitral em pacientes reumáticos com baixo escore ecocardiográfico

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