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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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Final result of the four portals in patient of the video-assisted minimallyinvasive procedure.
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f03: Final result of the four portals in patient of the video-assisted minimallyinvasive procedure.

Mentions: There was one death (0.98%) in the MI D group. There were two new episodes of atrialfibrillation that was pharmacologically reversed. There was one post-operativepericardial drainage in the MI D group and two revisions of hemostasis in the MI VAgroup. One patient in MI VA group reported transient numbness in the thigh, this beingone of the first patients in the series. One patient developed pneumothorax requiringredrainage. One female patient undergoing septoplasty presented reversed pulmonaryhypertension with vasodilator. Among the patients submitted to VA MI, 15 (17%) has tubesremoved at the room. The final aspect of portals in one patient in MI VA group is shownin Figure 3.


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)

Final result of the four portals in patient of the video-assisted minimallyinvasive procedure.
© Copyright Policy - open-access
Related In: Results  -  Collection

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

f03: Final result of the four portals in patient of the video-assisted minimallyinvasive procedure.
Mentions: There was one death (0.98%) in the MI D group. There were two new episodes of atrialfibrillation that was pharmacologically reversed. There was one post-operativepericardial drainage in the MI D group and two revisions of hemostasis in the MI VAgroup. One patient in MI VA group reported transient numbness in the thigh, this beingone of the first patients in the series. One patient developed pneumothorax requiringredrainage. One female patient undergoing septoplasty presented reversed pulmonaryhypertension with vasodilator. Among the patients submitted to VA MI, 15 (17%) has tubesremoved at the room. The final aspect of portals in one patient in MI VA group is shownin Figure 3.

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