|Port-Access cardiac surgery using endovascular cardiopulmonary bypass: theory, practice, and results.|
|PMID: 10225184 Owner: NLM Status: MEDLINE|
|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.|
|H Reichenspurner; A Welz; V Gulielmos; D Boehm; B Reichart|
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|Type: Journal Article|
|Title: Journal of cardiac surgery Volume: 13 ISSN: 0886-0440 ISO Abbreviation: J Card Surg Publication Date: 1998 Jul|
|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|
|Languages: eng Pagination: 275-80 Citation Subset: IM|
|Department of Cardiac Surgery, Ludwig-Maximilians-University Munich, Germany.|
|APA/MLA Format Download EndNote Download BibTex|
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
Heart Arrest, Induced
Heart Atria / surgery
Heart Catheterization / instrumentation
Heart Neoplasms / surgery
Heart Septal Defects, Atrial / surgery
Heart Valve Prosthesis Implantation
Mitral Valve / surgery
Mitral Valve Insufficiency / etiology
Myxoma / surgery
Sternum / surgery
Surgical Procedures, Minimally Invasive / adverse effects, instrumentation, methods
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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