Document Detail


Mitral valve surgery using right anterolateral thoracotomy: is the aortic cannulation a safety procedure?
MedLine Citation:
PMID:  21103739     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Marco Antonio Vieira Guedes; Pablo Maria Alberto Pomerantzeff; Carlos Manuel de Almeida Brandão; Marcelo Luiz Campos Vieira; Max Grinberg; Noedir Antonio Groppo Stolf
Related Documents :
10654499 - A new technique for debridement in rheumatic valvular disease: the rasping procedure.
21364529 - Effects of bariatric surgery on disability pension in swedish obese subjects.
7954769 - Results of percutaneous transseptal mitral commissurotomy in patients 40 years and abov...
3398549 - Early and late results of reconstructive operation for congenital mitral regurgitation ...
7224379 - The late appearance of chronic pericardial disease in patients treated by radiotherapy ...
14996469 - Clinical and echocardiographic assessment of pregnant women with valvular heart disease...
8442439 - Rapid, divergent changes in spinal and forearm bone density following short-term intrav...
19691779 - Efficacy of laparoscopic radiofrequency ablation for hepatocellular carcinoma compared ...
6223819 - Adjunctive medroxyprogesterone acetate to radical nephrectomy in category m0 renal cell...
Publication Detail:
Type:  Journal Article    
Journal Detail:
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:
Created Date:  2010-11-24     Completed Date:  2011-04-06     Revised Date:  2014-07-30    
Medline Journal Info:
Nlm Unique ID:  9104279     Medline TA:  Rev Bras Cir Cardiovasc     Country:  Brazil    
Other Details:
Languages:  eng     Pagination:  322-5     Citation Subset:  IM    
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adult
Cardiac Catheterization / adverse effects,  methods*
Coronary Artery Bypass / adverse effects,  methods*
Extracorporeal Circulation
Female
Follow-Up Studies
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


Previous Document:  VEGF gene therapy for angiogenesis in refractory angina: phase I/II clinical trial.
Next Document:  Treatment of atrial fibrillation using ultrasonic cardiac ablation, during valvular heart surgery.