| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
Ann Thorac Surg 1998;65:1100-1104
© 1998 The Society of Thoracic Surgeons
a Department of Surgery, Loma Linda University Medical Center, Loma Linda, California, USA
Address reprint requests to Dr Gundry, Division of Cardiothoracic Surgery, Loma Linda University Medical Center, 11234 Anderson St, Loma Linda, CA 92354
Presented at the Thirty-third Annual Meeting of The Society of Thoracic Surgeons, San Diego, CA, Feb 3–5, 1997.
Background. The public’s and surgeons’ perception of minimally invasive operations are frequently at odds. Nevertheless, real or perceived benefits may result from limiting skin and skeletal trauma.
Methods. Beginning in January 1996, we began approaching most infant and pediatric open heart procedures through an upper sternal split incision using a 1- to 3-inch skin opening and then extended this technique using a 2.5- to 3.5-inch incision for adult aortic and mitral valve replacement.
Results. A total of 82 patients, 57 infants and children and 25 adults, have been operated on using this approach (age range, newborn to 81 years). Operations accomplished through ministernotomy have included aortic valvotomy, arterial switch, tetralogy of Fallot, atrial or ventricular septal defect closure, aortic valve replacement, mitral valve replacement and repair, redo aortic or mitral valve replacement, double valve replacement, aortic root replacement, and complex arch reconstruction. In adults, the sternum was divided and then a T incision was made at the second, third, or fourth intercostal space. The mitral valve was reached through the roof of the left atrium. In children, a lower sternal split was used for atrial septal defect repairs. All cannulas were introduced through the ministernotomy incision, eliminating femoral cannulation. No new instruments, retractors, or ports were used. Mediastinal drainage was accomplished through a Blake drain connected to Heimlich-valved grenade suction. All but 2 patients were extubated immediately. Hospital stay was from 1 to 20 days (median 2 days). Patient and family acceptance is very high.
Conclusions. On the basis of this initial experience, we attempt all congenital cardiac and isolated adult valve operations through ministernotomy.
This article has been cited by other articles:
|
|
 |
|
  E. Raanani, D. Spiegelstein, L. Sternik, S. Preisman, Y. Moshkovitz, A. K. Smolinsky, and A. Shinfeld Quality of mitral valve repair: Median sternotomy versus port-access approach J. Thorac. Cardiovasc. Surg., July 1, 2010; 140(1): 86 - 90. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
L. G. Svensson, F. A. Atik, D. M. Cosgrove, E. H. Blackstone, J. Rajeswaran, G. Krishnaswamy, U. Jin, A. M. Gillinov, B. Griffin, J. L. Navia, et al. Minimally invasive versus conventional mitral valve surgery: A propensity-matched comparison J. Thorac. Cardiovasc. Surg., April 1, 2010; 139(4): 926 - 932. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 B. R. Karthekeyan, M. Vakamudi, P. Thangavelu, S. Sulaiman, A. S. Sundar, and S. M. Kumar Lower Ministernotomy and Fast Tracking for Atrial Septal Defect Asian Cardiovasc Thorac Ann, February 1, 2010; 18(2): 166 - 169. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 A. Plass, H. Scheffel, H. Alkadhi, P. Kaufmann, M. Genoni, V. Falk, and J. Grunenfelder Aortic Valve Replacement Through a Minimally Invasive Approach: Preoperative Planning, Surgical Technique, and Outcome Ann. Thorac. Surg., December 1, 2009; 88(6): 1851 - 1856. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. H. Karimov, F. Santarelli, M. Murzi, and M. Glauber A technique of an upper V-type ministernotomy in the second intercostal space Interact CardioVasc Thorac Surg, December 1, 2009; 9(6): 1021 - 1022. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. H. Karimov and M. Glauber eComment: Minimally invasive access for congenital heart disease repair Interact CardioVasc Thorac Surg, November 1, 2009; 9(5): 822 - 822. [Full Text] [PDF]
|
|
|
|
|
|
A. C. Galloway, C. F. Schwartz, G. H. Ribakove, G. A. Crooke, G. Gogoladze, P. Ursomanno, M. Mirabella, A. T. Culliford, and E. A. Grossi A Decade of Minimally Invasive Mitral Repair: Long-Term Outcomes Ann. Thorac. Surg., October 1, 2009; 88(4): 1180 - 1184. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
P. Totaro, S. Carlini, M. Pozzi, F. Pagani, G. Zattera, A. M. D'Armini, and M. Vigano Minimally Invasive Approach for Complex Cardiac Surgery Procedures Ann. Thorac. Surg., August 1, 2009; 88(2): 462 - 467. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. Little, M. Flynn, G. B. Pettersson, A. M. Gillinov, and E. H. Blackstone Revisiting the Dome Approach for Partial Sternotomy/Minimally Invasive Mitral Valve Surgery Ann. Thorac. Surg., March 1, 2009; 87(3): 694 - 697. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. Yilmaz, A. Rehman, U. Sonker, and G. T.L. Kloppenburg Minimal Access Aortic Valve Replacement Using a Minimal Extracorporeal Circulatory System Ann. Thorac. Surg., March 1, 2009; 87(3): 720 - 725. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
T. Ito, M. Kudo, and R. Yozu Usefulness of Osteosynthesis Device Made of Hydroxyapatite-Poly-L-Lactide Composites in Port-Access Cardiac Surgery Ann. Thorac. Surg., December 1, 2008; 86(6): 1905 - 1908. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. Umakanthan, M. Leacche, M. R. Petracek, S. Kumar, N. V. Solenkova, C. A. Kaiser, J. P. Greelish, J. M. Balaguer, R. M. Ahmad, S. K. Ball, et al. Safety of Minimally Invasive Mitral Valve Surgery Without Aortic Cross-Clamp Ann. Thorac. Surg., May 1, 2008; 85(5): 1544 - 1550. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
D. Mishaly, P. Ghosh, and S. Preisman Minimally Invasive Congenital Cardiac Surgery Through Right Anterior Minithoracotomy Approach Ann. Thorac. Surg., March 1, 2008; 85(3): 831 - 835. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 W. R. Chitwood Jr. and E. Rodriguez Minimally Invasive and Robotic Mitral Valve Surgery Card. Surg. Adult, January 1, 2008; 3(2008): 1079 - 1100. [Full Text]
|
|
|
|
|
|
J. P. Greelish, R. M. Ahmad, J. M. Balaguer, M. R. Petracek, and J. G. Byrne Reoperative Valve Surgery Card. Surg. Adult, January 1, 2008; 3(2008): 1159 - 1174. [Full Text]
|
|
|
|
|
|
S. Agati, C. Mignosa, P. Gitto, E. S. Trimarchi, G. Ciccarello, D. Salvo, and G. Trimarchi A method for chest drainage after pediatric cardiac surgery: A prospective randomized trial J. Thorac. Cardiovasc. Surg., June 1, 2006; 131(6): 1306 - 1309. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
H.-S. Sun, W.-G. Ma, J.-P. Xu, L.-Z. Sun, F. Lu, and X.-D. Zhu Minimal Access Heart Surgery via Lower Ministernotomy: Experience in 460 Cases Asian Cardiovasc Thorac Ann, April 1, 2006; 14(2): 109 - 113. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. Ando, Y. Takahashi, and T. Kikuchi Short Operation Time: An Important Element to Reduce Operative Invasiveness in Pediatric Cardiac Surgery Ann. Thorac. Surg., August 1, 2005; 80(2): 631 - 635. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C. Schreiber, S. Bleiziffer, M. Kostolny, J. Horer, A. Eicken, K. Holper, P. Tassani-Prell, and R. Lange Minimally Invasive Midaxillary Muscle Sparing Thoracotomy for Atrial Septal Defect Closure in Prepubescent Patients Ann. Thorac. Surg., August 1, 2005; 80(2): 673 - 676. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. Dogan, T. Aybek, P. S. Risteski, F. Detho, A. Rapp, G. Wimmer-Greinecker, and A. Moritz Minimally Invasive Port Access Versus Conventional Mitral Valve Surgery: Prospective Randomized Study Ann. Thorac. Surg., February 1, 2005; 79(2): 492 - 498. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. A. Morgan, J. C. Peacock, T. Kohmoto, M. J. Garrido, B. M. Schanzer, A. R. Kherani, D. W. Vigilance, F. H. Cheema, S. Kaplan, C. R. Smith, et al. Robotic techniques improve quality of life in patients undergoing atrial septal defect repair Ann. Thorac. Surg., April 1, 2004; 77(4): 1328 - 1333. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 S.-i. Watanabe, K. Takagi, Y. Nakamura, and R. Sakata Tracheal release and thymus wrapping of the tracheoplasty anastomosis through mini-sternotomy Eur J Cardiothorac Surg, February 1, 2004; 25(2): 287 - 289. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. Resley, D. Fitzgerald, R. Albus, and P. Massimiano Pericardial patch closure of an atrial septal defect using endoscopic robotic technology Perfusion, December 1, 2003; 18(6): 365 - 367. [Abstract] [PDF]
|
|
|
|
|
|
S. C. Stamou, E. I. Kapetanakis, R. Lowery, K. A. Jablonski, T. L. Frankel, and P. J. Corso Allogeneic blood transfusion requirements after minimally invasive versus conventional aortic valve replacement: a risk-Adjusted analysis Ann. Thorac. Surg., October 1, 2003; 76(4): 1101 - 1106. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 R. Sharony, E. A. Grossi, P. C. Saunders, C. F. Schwartz, G. H. Ribakove, A. T. Culliford, P. Ursomanno, F. G. Baumann, A. C. Galloway, and S. B. Colvin Minimally Invasive Aortic Valve Surgery in the Elderly: A Case-Control Study Circulation, September 9, 2003; 108(2011): II-43 - II-47. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. P. Greelish, L. H. Cohn, M. Leacche, M. Mitchell, A. Karavas, J. Fox, J. G. Byrne, S. F. Aranki, and G. S. Couper Minimally invasive mitral valve repair suggests earlier operations for mitral valve disease J. Thorac. Cardiovasc. Surg., August 1, 2003; 126(2): 365 - 373. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. De Bonis, F. Maisano, E. Lapenna, and O. Alfieri Aortic and mitral valve surgery through a superior ministernotomy in pectus excavatum associated with Marfan's syndrome Interact CardioVasc Thorac Surg, June 1, 2003; 2(2): 146 - 148. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. M. Gillinov and D. M. Cosgrove III Mitral Valve Repair Card. Surg. Adult, January 1, 2003; 2(2003): 933 - 950. [Full Text]
|
|
|
|
|
|
J. G. Byrne, B. J. Phillips, and L. H. Cohn Reoperative Valve Surgery Card. Surg. Adult, January 1, 2003; 2(2003): 1047 - 1056. [Full Text]
|
|
|
|
|
|
W. R. Chitwood Jr. and L. W. Nifong Minimally Invasive and Robotic Valve Surgery Card. Surg. Adult, January 1, 2003; 2(2003): 1075 - 1092. [Full Text]
|
|
|
|
|
|
E. A. Grossi, A. C. Galloway, A. LaPietra, G. H. Ribakove, P. Ursomanno, J. Delianides, A. T. Culliford, C. Bizekis, R. A. Esposito, F. G. Baumann, et al. Minimally invasive mitral valve surgery: a 6-year experience with 714 patients Ann. Thorac. Surg., September 1, 2002; 74(3): 660 - 664. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. W. Downing, W. A Herzog Jr, J. S. McLaughlin, and T. P. Gilbert Beating-heart mitral valve surgery: Preliminary model and methodology J. Thorac. Cardiovasc. Surg., June 1, 2002; 123(6): 1141 - 1146. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
W. H. Ryan, J. Cheirif, T. M. Dewey, S. L. Prince, and M. J. Mack Safety and efficacy of minimally invasive atrial septal defect closure Ann. Thorac. Surg., May 1, 2002; 75(5): 1532 - 1534. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. Bonacchi, E. Prifti, G. Giunti, G. Frati, and G. Sani Does ministernotomy improve postoperative outcome in aortic valve operation? A prospective randomized study Ann. Thorac. Surg., February 1, 2002; 73(2): 460 - 465. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
U. Abdel-Rahman, G. Wimmer-Greinecker, G. Matheis, A. Klesius, U. Seitz, R. Hofstetter, and A. Moritz Correction of simple congenital heart defects in infants and children through a minithoracotomy Ann. Thorac. Surg., November 1, 2001; 72(5): 1645 - 1649. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
Y. Hayashi, K. Kagisaki, T. Yamaguchi, T. Sakaguchi, Y. Naka, Y. Sawa, S. Ohtake, and H. Matsuda Clinical application of vacuum-assisted cardiopulmonary bypass with a pressure relief valve Eur J Cardiothorac Surg, September 1, 2001; 20(3): 621 - 626. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 R. Formigari, R. M. Di Donato, E. Mazzera, A. Carotti, G. Rinelli, F. Parisi, L. Pasquini, and L. Ballerini Minimally invasive or interventional repair of atrial septal defects in children: experience in 171 cases and comparison with conventional strategies J. Am. Coll. Cardiol., May 1, 2001; 37(6): 1707 - 1712. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 M. D. Black, N. Pike, M. Koransky, M. Humel, P. J. McCarthy, R. Smith, G. M. Boltz, V. Wellis, S. Uezono, and G. B. Hammer Innovations and Future Directions in Pediatric Cardiac Anesthesia and Surgery Seminars in Cardiothoracic and Vascular Anesthesia, March 1, 2001; 5(1): 113 - 116. [Abstract] [PDF]
|
|
|
|
|
|
E. A. Grossi, A. C. Galloway, G. H. Ribakove, P. K. Zakow, C. C. Derivaux, F. G. Baumann, D. Schwesinger, and S. B. Colvin Impact of minimally invasive valvular heart surgery: a case-control study Ann. Thorac. Surg., March 1, 2001; 71(3): 807 - 810. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
I. A. Nicholson, D. P. Bichell, E. A. Bacha, and P. J. del Nido Minimal sternotomy approach for congenital heart operations Ann. Thorac. Surg., February 1, 2001; 71(2): 469 - 472. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 C. Hagl, U. Stock, A. Haverich, and G. Steinhoff Evaluation of Different Minimally Invasive Techniques in Pediatric Cardiac Surgery : Is a Full Sternotomy Always a Necessity? Chest, February 1, 2001; 119(2): 622 - 627. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
L. Sun, J. Zheng, Q. Chang, Y. Tang, J. Feng, X. Sun, and X. Zhu Aortic root replacement by ministernotomy: technique and potential benefit Ann. Thorac. Surg., December 1, 2000; 70(6): 1958 - 1961. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
P. A. Berdat, T. Chatterjee, J.-P. Pfammatter, S. Windecker, B. Meier, and T. Carrel Surgical management of complications after transcatheter closure of an atrial septal defect or patent foramen ovale J. Thorac. Cardiovasc. Surg., December 1, 2000; 120(6): 1034 - 1039. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. G. Grandjean, M. Lucchi, and M. A. Mariani Reversed-T upper mini-sternotomy for extended thymectomy in myasthenic patients Ann. Thorac. Surg., October 1, 2000; 70(4): 1423 - 1424. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. Taguchi, T. Niibori, and K. Moro Use of three-dimensional computed tomography images in deciding the approach for ministernotomy operations Ann. Thorac. Surg., September 1, 2000; 70(3): 1090 - 1093. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. G. Byrne, A. N. Karavas, D. H. Adams, L. Aklog, S. F. Aranki, G. S. Couper, R. J. Rizzo, and L. H. Cohn Partial upper re-sternotomy for aortic valve replacement or re-replacement after previous cardiac surgery Eur J Cardiothorac Surg, September 1, 2000; 18(3): 282 - 286. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
D. P. Bichell, T. Geva, E. A. Bacha, J. E. Mayer, R. A. Jonas, and P. J. del Nido Minimal access approach for the repair of atrial septal defect: the initial 135 patients Ann. Thorac. Surg., July 1, 2000; 70(1): 115 - 118. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. M. Marianeschi, F. Seddio, D. B. McElhinney, L. Colagrande, R. F. Abella, T. de la Torre, M. Meli, F. S. Iorio, and C. F. Marcelletti Fast-track congenital heart operations: a less invasive technique and early extubation Ann. Thorac. Surg., March 1, 2000; 69(3): 872 - 876. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
P. C. Laussen, D. P. Bichell, F. X. McGowan, D. Zurakowski, D. R. DeMaso, and P. J. del Nido Postoperative recovery in children after minimum versus full-length sternotomy Ann. Thorac. Surg., February 1, 2000; 69(2): 591 - 596. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
V.R. Machiraju, C. A.B. Lima, M. H. Culig, R. D. Bennett, and N. S. Thakur Exposure of the mitral valve by transecting the ascending aorta during aortic and mitral valve replacement Ann. Thorac. Surg., February 1, 2000; 69(2): 646 - 647. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. G. Byrne, S. F. Aranki, G. S. Couper, D. H. Adams, E. N. Allred, and L. H. Cohn REOPERATIVE AORTIC VALVE REPLACEMENT: PARTIAL UPPER HEMISTERNOTOMY VERSUS CONVENTIONAL FULL STERNOTOMY J. Thorac. Cardiovasc. Surg., December 1, 1999; 118(6): 991 - 997. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
V. Rao, R. M. Freedom, and M. D. Black Minimally invasive surgery with cardioscopy for congenital heart defects Ann. Thorac. Surg., November 1, 1999; 68(5): 1742 - 1745. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. Massetti, P. Nataf, G. Babatasi, and A. Khayat Cosmetic aspects in minimally invasive cardiac surgery Eur J Cardiothorac Surg, November 1, 1999; 16(Supplement_2): S73 - S75. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. Liu, A. Sidiropoulos, and W. Konertz Minimally invasive aortic valve replacement (AVR) compared to standard AVR Eur J Cardiothorac Surg, November 1, 1999; 16(Supplement_2): S80 - S83. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
K. V. Arom, R. W. Emery, V. R. Kshettry, and K. A. Dubois Evaluation of two new heart valve surgery techniques: partial sternotomy and port-access approaches Eur J Cardiothorac Surg, September 1, 1999; 16(Supplement_1): S99 - S102. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. Massetti, G. Babatasi, S. Bhoyroo, O. Le Page, and A. Khayat A special adapted retractor for the mini-sternotomy approach Ann. Thorac. Surg., July 1, 1999; 68(1): 274 - 277. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. M Toomasian Cardiopulmonary bypass for less invasive procedures Perfusion, July 1, 1999; 14(4): 279 - 286. [PDF]
|
|
|
|
|
|
A. Aris, M. L. Camara, J. Montiel, L. J. Delgado, J. Galan, and H. Litvan Ministernotomy versus median sternotomy for aortic valve replacement: a prospective, randomized study Ann. Thorac. Surg., June 1, 1999; 67(6): 1583 - 1587. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
H. Y. Karagoz, K. Bayazit, B. Battaloglu, M. Kurtoglu, G. Ozerdem, B. Bakkaloglu, and B. Sonmez Minimally invasive mitral valve surgery: the subxiphoid approach Ann. Thorac. Surg., May 1, 1999; 67(5): 1328 - 1332. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. Y. Zlotnick, M. S. Gilfeather, D. H. Adams, L. H. Cohn, and G. S. Couper Innominate vein cannulation for venous drainage in minimally invasive aortic valve replacement Ann. Thorac. Surg., March 1, 1999; 67(3): 864 - 865. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. J. Reardon, L. D. Conklin, R. Philo, G. V. Letsou, H. J. Safi, and R. Espada The anatomical aspects of minimally invasive cardiac valve operations Ann. Thorac. Surg., January 1, 1999; 67(1): 266 - 268. [Abstract] [Full Text] [PDF]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
| ANN THORAC SURG | ASIAN CARDIOVASC THORAC ANN | EUR J CARDIOTHORAC SURG |
| J THORAC CARDIOVASC SURG | ICVTS | ALL CTSNet JOURNALS |
