Document Detail


Port-Access cardiac surgery using endovascular cardiopulmonary bypass: theory, practice, and results.
MedLine Citation:
PMID:  10225184     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Reduction of surgical trauma is the aim of minimally invasive cardiac surgery. This can be achieved by reducing the size of the incision or by eliminating or changing the cardiopulmonary bypass system. However, certain cardiac surgical procedures, such as valvular surgery and complex multivessel coronary artery surgery, are not feasible without the use of cardiopulmonary bypass. Therefore endovascular cardiopulmonary bypass may allow reduction of surgical trauma for these patients. METHODS: Since its first application in April 1995, more than 1100 procedures have been performed worldwide using the EndoCPB endovascular cardiopulmonary bypass system. The authors' experience consists of 60 Port-Access coronary artery bypass grafting procedures, 34 Port-Access mitral valve procedures (18 replacements, 16 repairs), 5 atrial septal defect closures, and 3 atrial myxoma removals. RESULTS: The patient survival rate was 99%, the incidence of perioperative stroke was 1%, and the incidence of aortic dissection was 1%. In the Port-Access mitral valve and atrial septal defect patients, the survival rate was 100% with no peri- or postoperative complications. Peri- and postoperative transesophageal echocardiography revealed no perivalvular leak or remaining mitral insufficiency after valve repair. CONCLUSIONS: The EndoCPB endovascular cardiopulmonary bypass system allows the application of true Port-Access minimally invasive cardiac surgery in procedures that require the use of cardiopulmonary bypass and cardioplegic arrest. Sternotomy and its potential complications can be avoided, and the surgical procedures can be performed safely on an empty, arrested heart with adequate myocardial protection.
Authors:
H Reichenspurner; A Welz; V Gulielmos; D Boehm; B Reichart
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of cardiac surgery     Volume:  13     ISSN:  0886-0440     ISO Abbreviation:  J Card Surg     Publication Date:  1998 Jul 
Date Detail:
Created Date:  1999-06-18     Completed Date:  1999-06-18     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8908809     Medline TA:  J Card Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  275-80     Citation Subset:  IM    
Affiliation:
Department of Cardiac Surgery, Ludwig-Maximilians-University Munich, Germany.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Aneurysm, Dissecting / etiology
Aortic Aneurysm / etiology
Cardiac Surgical Procedures / adverse effects,  instrumentation,  methods*
Cardiopulmonary Bypass / adverse effects,  instrumentation,  methods*
Cerebrovascular Disorders / etiology
Coronary Artery Bypass / methods
Echocardiography, Transesophageal
Female
Heart Arrest, Induced
Heart Atria / surgery
Heart Catheterization / instrumentation
Heart Neoplasms / surgery
Heart Septal Defects, Atrial / surgery
Heart Valve Prosthesis Implantation
Humans
Incidence
Male
Middle Aged
Mitral Valve / surgery
Mitral Valve Insufficiency / etiology
Myxoma / surgery
Safety
Sternum / surgery
Surgical Procedures, Minimally Invasive / adverse effects,  instrumentation,  methods
Survival Rate

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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