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Minimally invasive procedures - direct and video-assisted forms in the treatment of heart diseases.

Castro Neto JV, Melo EC, Silva JF, Rebouças LL, Corrêa LC, Germano Ade Q, Machado JJ - Arq. Bras. Cardiol. (2014)

Bottom Line: Minimally invasive cardiovascular procedures have been progressively used in heart surgery.Clinical and surgical variables were evaluated as well as the in hospital follow-up of the patients.Fourteen patients were operated through the direct form and 88 through the video-assisted form.

View Article: PubMed Central - PubMed

Affiliation: Instituto do Coração do Nordeste, Fortaleza, CE, Brasil.

ABSTRACT

Background: Minimally invasive cardiovascular procedures have been progressively used in heart surgery.

Objective: To describe the techniques and immediate results of minimally invasive procedures in 5 years.

Methods: Prospective and descriptive study in which 102 patients were submitted to minimally invasive procedures in direct and video-assisted forms. Clinical and surgical variables were evaluated as well as the in hospital follow-up of the patients.

Results: Fourteen patients were operated through the direct form and 88 through the video-assisted form. Between minimally invasive procedures in direct form, 13 had aortic valve disease. Between minimally invasive procedures in video-assisted forms, 43 had mitral valve disease, 41 atrial septal defect and four tumors. In relation to mitral valve disease, we replaced 26 and reconstructed 17 valves. Aortic clamp, extracorporeal and procedure times were, respectively, 91,6 ± 21,8, 112,7 ± 27,9 e 247,1 ± 20,3 minutes in minimally invasive procedures in direct form. Between minimally invasive procedures in video-assisted forms, 71,6 ± 29, 99,7 ± 32,6 e 226,1 ± 42,7 minutes. Considering intensive care and hospitalization times, these were 41,1 ± 14,7 hours and 4,6 ± 2 days in minimally invasive procedures in direct and 36,8 ± 16,3 hours and 4,3 ± 1,9 days in minimally invasive procedures in video-assisted forms procedures.

Conclusion: Minimally invasive procedures were used in two forms - direct and video-assisted - with safety in the surgical treatment of video-assisted, atrial septal defect and tumors of the heart. These procedures seem to result in longer surgical variables. However, hospital recuperation was faster, independent of the access or pathology.

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Descriptive drawing of the right intra-atrial video-assisted minimally invasiveprocedure
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f02: Descriptive drawing of the right intra-atrial video-assisted minimally invasiveprocedure

Mentions: Access was made through four intercostals portals. The portal or work incision of 4cm (always maximized with soft tissue retractor, ALEXIS®) and threeauxiliary portals of 0.5 cm (Figure 2). Thework incision site varied according to the gender of the patient and the cardiacchamber to be addressed, but always directed to the fourth right intercostalspace.


Minimally invasive procedures - direct and video-assisted forms in the treatment of heart diseases.

Castro Neto JV, Melo EC, Silva JF, Rebouças LL, Corrêa LC, Germano Ade Q, Machado JJ - Arq. Bras. Cardiol. (2014)

Descriptive drawing of the right intra-atrial video-assisted minimally invasiveprocedure
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3987317&req=5

f02: Descriptive drawing of the right intra-atrial video-assisted minimally invasiveprocedure
Mentions: Access was made through four intercostals portals. The portal or work incision of 4cm (always maximized with soft tissue retractor, ALEXIS®) and threeauxiliary portals of 0.5 cm (Figure 2). Thework incision site varied according to the gender of the patient and the cardiacchamber to be addressed, but always directed to the fourth right intercostalspace.

Bottom Line: Minimally invasive cardiovascular procedures have been progressively used in heart surgery.Clinical and surgical variables were evaluated as well as the in hospital follow-up of the patients.Fourteen patients were operated through the direct form and 88 through the video-assisted form.

View Article: PubMed Central - PubMed

Affiliation: Instituto do Coração do Nordeste, Fortaleza, CE, Brasil.

ABSTRACT

Background: Minimally invasive cardiovascular procedures have been progressively used in heart surgery.

Objective: To describe the techniques and immediate results of minimally invasive procedures in 5 years.

Methods: Prospective and descriptive study in which 102 patients were submitted to minimally invasive procedures in direct and video-assisted forms. Clinical and surgical variables were evaluated as well as the in hospital follow-up of the patients.

Results: Fourteen patients were operated through the direct form and 88 through the video-assisted form. Between minimally invasive procedures in direct form, 13 had aortic valve disease. Between minimally invasive procedures in video-assisted forms, 43 had mitral valve disease, 41 atrial septal defect and four tumors. In relation to mitral valve disease, we replaced 26 and reconstructed 17 valves. Aortic clamp, extracorporeal and procedure times were, respectively, 91,6 ± 21,8, 112,7 ± 27,9 e 247,1 ± 20,3 minutes in minimally invasive procedures in direct form. Between minimally invasive procedures in video-assisted forms, 71,6 ± 29, 99,7 ± 32,6 e 226,1 ± 42,7 minutes. Considering intensive care and hospitalization times, these were 41,1 ± 14,7 hours and 4,6 ± 2 days in minimally invasive procedures in direct and 36,8 ± 16,3 hours and 4,3 ± 1,9 days in minimally invasive procedures in video-assisted forms procedures.

Conclusion: Minimally invasive procedures were used in two forms - direct and video-assisted - with safety in the surgical treatment of video-assisted, atrial septal defect and tumors of the heart. These procedures seem to result in longer surgical variables. However, hospital recuperation was faster, independent of the access or pathology.

Show MeSH
Related in: MedlinePlus