| Mitral valve surgery using right anterolateral thoracotomy: is the aortic cannulation a safety procedure? | |
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MedLine Citation:
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PMID: 21103739 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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INTRODUCTION: The right anterolateral thoracotomy is an alternative technique for surgical approach of mitral valve. In these cases, femoral-femoral bypass still has been used, rising occurrence of complications related to femoral cannulation. Objective: Describe the technique and results of mitral valve treatment by right anterolateral thoracotomy using aortic cannulation for cardiac pulmonary bypass (CPB). METHODS: From 1983 e 2008, 100 consecutive female patients, with average age 35 ±13 years, 96 (96%) underwent mitral valve surgical treatment in the Heart Institute of São Paulo. A right anterolateral thoracotomy approach associated with aortic cannulation was used for CPB. Eighty (80%) patients had rheumatic disease and 84 (84%) patients presented functional class III or IV. RESULTS: Were performed 45 (45%) comissurotomies, 38 (38%) valve repairs, 7(7%) mitral valve replacements, seven (7%) recomissurotomies and three (3%) prosthesis replacement. Sparing surgery was performed in 90 (90%) patients. The average CPB and clamp time were 57 ± 27 min e 39 ± 19 min, respectively. There were no in-hospital death, reoperation due to bleeding and convertion to sternotomy. Introperative complications were related to heart harvest (5%), especially in reoperations (3%). The most important complications in postoperative period were related to pulmonary system (11%), followed by atrial fibrilation (10%) but without major systemic repercussions. The mean inhospital length of stay was 8 ± 3 days. Follow-up was 6.038 patients/month. Actuarial survival was 98.0 ± 1.9% and freedom from reoperation was 81.4 ± 7.8% in 180 months. CONCLUSION: The right anterolateral thoracotomy associated with aortic cannulation in mitral valve surgery is a simple technique, reproducible and safety. |
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Authors:
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Marco Antonio Vieira Guedes; Pablo Maria Alberto Pomerantzeff; Carlos Manuel de Almeida Brandão; Marcelo Luiz Campos Vieira; Max Grinberg; Noedir Antonio Groppo Stolf |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Revista brasileira de cirurgia cardiovascular : órgão oficial da Sociedade Brasileira de Cirurgia Cardiovascular Volume: 25 ISSN: 1678-9741 ISO Abbreviation: Rev Bras Cir Cardiovasc Publication Date: 2010 Jul-Sep |
Date Detail:
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Created Date: 2010-11-24 Completed Date: 2011-04-06 Revised Date: 2012-04-02 |
Medline Journal Info:
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Nlm Unique ID: 9104279 Medline TA: Rev Bras Cir Cardiovasc Country: Brazil |
Other Details:
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Languages: eng Pagination: 322-5 Citation Subset: IM |
Affiliation:
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Faculdade de Medicina, Universidade Federal da Bahia. guedesmarco@gmail.com |
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Coronary Artery Bypass / adverse effects, methods* Extracorporeal Circulation Female Follow-Up Studies Heart Catheterization / adverse effects, methods* Humans Length of Stay Male Mitral Valve Insufficiency / surgery* Severity of Illness Index Thoracotomy / adverse effects, methods* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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