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Minimally invasive tricuspid valve surgery without caval occlusion: Short and midterm results

التفاصيل البيبلوغرافية
العنوان: Minimally invasive tricuspid valve surgery without caval occlusion: Short and midterm results
المؤلفون: Adriano De Santis, Domenico Paparella, Giuseppe Mastrototaro, Pietro Giorgio Malvindi, Giuseppe Visicchio, Giorgio Kounakis, Vito Margari, Pierpaolo Dambruoso, Carmine Carbone
المصدر: Journal of cardiac surgeryREFERENCES. 36(2)
سنة النشر: 2020
مصطلحات موضوعية: Pulmonary and Respiratory Medicine, Male, medicine.medical_specialty, Regurgitation (circulation), 030204 cardiovascular system & hematology, Inferior vena cava, law.invention, Venous line, 03 medical and health sciences, 0302 clinical medicine, law, Occlusion, medicine, Minimally invasive cardiac surgery, Cardiopulmonary bypass, Humans, Minimally Invasive Surgical Procedures, Prospective Studies, Cardiac Surgical Procedures, Aged, Retrospective Studies, Aged, 80 and over, Heart Valve Prosthesis Implantation, Tricuspid valve, business.industry, Perioperative, Middle Aged, Tricuspid Valve Insufficiency, Surgery, medicine.anatomical_structure, Treatment Outcome, 030228 respiratory system, medicine.vein, Thoracotomy, cardiovascular system, Female, Tricuspid Valve, Cardiology and Cardiovascular Medicine, business
الوصف: Objective The use of minimally invasive or transcatheter interventions rather than standard full sternotomy operations to treat tricuspid valve (TV) disease is increasing. The debate however is still open regarding venous drainage management during cardiopulmonary bypass (CPB) and wheatear or not superior and inferior vena cava should be occluded during the opening of the right atrium to avoid air entrance in the venous line. The aim of the present study is to report operative outcomes and midterm follow-up results of minimally invasive TV surgery performed without caval occlusion. Methods A retrospective outcome evaluation from institutional records was performed with prospective data entry. Considered were consecutive patients who underwent right mini-thoracotomy TV surgery isolated or combined with mitral valve surgery during the period from June 2013 to February 2020. A telephone and echocardiographic follow-up was performed. Results During the study period, 68 consecutive patients underwent minimally invasive TV surgery without occlusion of cava veins. The mean age was 69 ± 14 years and 48 (70%) were female. All operations were performed safely without air-lock during CPB. A perioperative cerebral stroke occurred in one patient. The survival at a 5- and 8-year follow-up was 100% and 79%, respectively. No severe tricuspid regurgitation was evident at echocardiographic follow-up. Conclusion Our results show that performing tricuspid surgery without caval occlusion is safe. The air was captured by the active vacuum drainage system without causing damage. Midterm follow-up data confirm that a minimally invasive approach does not alter the quality of surgery.
تدمد: 1540-8191
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::6875a06d60e9645bc141c1c03e1ab077
https://pubmed.ncbi.nlm.nih.gov/33403735
Rights: CLOSED
رقم الانضمام: edsair.doi.dedup.....6875a06d60e9645bc141c1c03e1ab077
قاعدة البيانات: OpenAIRE
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