Turk Kardiyol Dern Ars. 2003; 31(3): 125-130
Video-Assisted Minimally Invasive (Port Access) Cardiac Surgery: Early Results
, Ertan Sağabaş1
, İlhan Sanisoğlu1
, Kamran Kazımoğlu1
, Uğur Özbek2
, Zehra Bayramoğlu1
, Kerem Oral1
, Belhhan Akpınar112
OBJECTIVE This study was conducted to evaluate early results of video -assisted minimally invasive atrial septa! defect closure and mitral valve surgery operations. Material and
METHODS Between January ,and December 2002.8 atrial sepia/ defect (ASD) closure. 38 mitral valve replacement and 16 antral valve repair operations were performed (n=62). The concomitant procedures vere radiofrequency ablation procedure for the treatment of atrial fibrillation (n=31) and tricuspid valve repair (n=7). The mean age of the patients was 27±10,1 years in ASD group. 51.8±1/ years in mitral valve replacement group. 48.2±12.5 years in mitral valve repair group. The femalehnale ratio was 612 in ASD group. 28/10 in mitral valve replacement group and 1016 in mitral valve repair group. Mean ejection fraction was 45±7 %. Cardiopulmonary bypass was initiated via femoral artery, femoral vein, percutaneous juguler vein cannulation. Procedures were performed through a 4-6 cm. anterolateral right mini thoracotomy incision with the assistance of 5 mm. endoscope. Aorta was cross -clamped using a transthoracic clamp (Chitwood). and cardioplegic arrest was achieved via cmtegrade blood cardioplegia.
RESULTS. Ischemic time was 39.1±14.2 minutes in ASD group. 102.2±29.4 minutes in mitral valve replacement group. and 111.1±23.3 minutes in mitral valve repair group. Total CPB time was 93.3±24.! minutes in ASD group, whereas 158±30.8 minutes in mitral valve replacement group and 166.6±24.1 minutes in mitral valve repair group. haensive care unit and hospital stay were 1 and 5±0.9 days for ASD group. respectively. 1.711.2 and 7.1±1.2 days in mitral valve replacement group and 1.8±1.3 and 8±1.7 days in mitral valve repair group. There was only one mortality due to pulmonary infection (1.6%). Myocardial infarction, neurological event or complication due to canmdation were not observed. There were 2 reoperations due to bleeding (3.2%). There were no procedure related complications. Transesophageal echocardiography at the end of the operation revealed competent mitral valves with no insufficiency in 14 patients and minimal regurgitation in hvo patients in the repair group and no leakage in ASD closure and mitral valve replacement group.
CONCLUSION Video assisted minimally invasive valve and ASD closure operations could be performed safely and efficiently. This technique provides better cosmetic and reliable surgical results with superior patient satisfaction. We can recommend this technique in selected group of patients.
Port-access, mitral valve. minimally invasive
How to cite this article
Mustafa Gülden, Ertan Sağabaş, İlhan Sanisoğlu, Kamran Kazımoğlu, Uğur Özbek, Zehra Bayramoğlu, Kerem Oral, Belhhan Akpınar. Video-Assisted Minimally Invasive (Port Access) Cardiac Surgery: Early Results. Turk Kardiyol Dern Ars. 2003; 31(3): 125-130