| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
Ann Thorac Surg 1998;65:1535-1538
© 1998 The Society of Thoracic Surgeons
a Department of Thoracic and Cardiovascular Surgery, The Cleveland Clinic Foundation, Cleveland, Ohio, USA
Address reprint requests to Dr Cosgrove, Department of Thoracic and Cardiovascular Surgery, The Cleveland Clinic Foundation (F25), 9500 Euclid Ave, Cleveland, OH 44195
Presented at the Thirty-third Annual Meeting of The Society of Thoracic Surgeons, San Diego, CA, Feb 3–5, 1997.
Background. To reduce the morbidity from valvular heart operations, a right parasternal approach was introduced. We report our initial experience with the procedure.
Methods. From January 1996 through July 1996, 115 patients underwent primary isolated valve procedures. One hundred (85%) patients underwent the operation through a right parasternal incision.
Results. There was one hospital death secondary to a stroke on the fifth postoperative day. Three patients (two with aortic valve operations and one having a mitral valve procedure) required conversion to sternotomy. Mean aortic occlusion time was 71 minutes; mean cardiopulmonary bypass time was 93 minutes. Mean stay in the intensive care unit was 27 hours and mean hospital postoperative stay was 5.7 days. Seventy-seven percent of the patients did not receive blood transfusions. Comparison with median sternotomy demonstrated a reduction in both postoperative length of stay and direct hospital costs.
Conclusions. We conclude that this minimally invasive approach is safe for a variety of valve procedures and is effective in reducing surgical trauma and cost.
This article has been cited by other articles:
|
|
 |
|
  T. K. Rosengart, T. Feldman, M. A. Borger, T. A. Vassiliades Jr, A. M. Gillinov, K. J. Hoercher, A. Vahanian, R. O. Bonow, and W. O'Neill Percutaneous and Minimally Invasive Valve Procedures: A Scientific Statement From the American Heart Association Council on Cardiovascular Surgery and Anesthesia, Council on Clinical Cardiology, Functional Genomics and Translational Biology Interdisciplinary Working Group, and Quality of Care and Outcomes Research Interdisciplinary Working Group Circulation, April 1, 2008; 117(13): 1750 - 1767. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 T. Gudbjartsson, T. Absi, and S. Aranki Mitral Valve Replacement Card. Surg. Adult, January 1, 2008; 3(2008): 1031 - 1068. [Full Text]
|
|
|
|
|
|
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]
|
|
|
|
 |
|
 M. A Moustafa, A. A Abdelsamad, G. Zakaria, and M. M Omarah Minimal vs Median Sternotomy for Aortic Valve Replacement Asian Cardiovasc Thorac Ann, December 1, 2007; 15(6): 472 - 475. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. L Navia, E. E Roselli, F. A Atik, G. V Gonzalez-Stawinski, and N. G Smedira Orthotopic Heart Transplantation through Minimally Invasive Approach Asian Cardiovasc Thorac Ann, October 1, 2007; 15(5): 446 - 448. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 M. Sundara Pandiyan, A. Mathew Kavunkal, V. T.K. Titus, and N. Pandarinathan Successful repair of chronic instability of anterior chest wall following right parasternal approach for closure of atrial septal defect in a young female Interactive CardioVascular and Thoracic Surgery, December 1, 2006; 5(6): 740 - 741. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. J. Nienaber and D. D. Glower Minitransseptal versus left atrial approach to the mitral valve: a comparison of outcomes. Ann. Thorac. Surg., September 1, 2006; 82(3): 834 - 839. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
T. Aybek, S. Dogan, P. S. Risteski, A. Zierer, T. Wittlinger, G. Wimmer-Greinecker, and A. Moritz Two hundred forty minimally invasive mitral operations through right minithoracotomy. Ann. Thorac. Surg., May 1, 2006; 81(5): 1618 - 1624. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 T. Mihaljevic, M. A. Gillinov, and D. M. Cosgrove Minimally invasive aortic valve replacement MMCTS, March 15, 2006; 2006(0315): 1131. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 T. Folliguet, F. Vanhuyse, X. Constantino, M. Realli, and F. Laborde Mitral valve repair robotic versus sternotomy Eur. J. Cardiothorac. Surg., March 1, 2006; 29(3): 362 - 366. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
D. G. Pennington The Impact of New Technology on Cardiothoracic Surgical Practice Ann. Thorac. Surg., January 1, 2006; 81(1): 10 - 18. [Full Text] [PDF]
|
|
|
|
 |
|
 L. H. Cohn Percutaneous Mitral Valve Repair With the Edge-to-Edge Technique: A Surgeon's Perspective J. Am. Coll. Cardiol., December 6, 2005; 46(11): 2141 - 2142. [Full Text] [PDF]
|
|
|
|
 |
|
 L. W. Nifong, W.R. Chitwood, P.S. Pappas, C.R. Smith, M. Argenziano, V.A. Starnes, P.M. Shah, and for the Multi-center Robotic Mitral Repair Group Robotic mitral valve surgery: A United States multicenter trial J. Thorac. Cardiovasc. Surg., June 1, 2005; 129(6): 1395 - 1404. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
K. Nishigaki, H. Nishi, Y. Kume, K. Kitabayashi, and K. Miyamoto Minimal Access via Lower Partial Sternotomy for Congenital Heart Defects Asian Cardiovasc Thorac Ann, March 1, 2005; 13(1): 42 - 46. [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]
|
|
|
|
|
|
A. J. Tatooles, P. S. Pappas, P. J. Gordon, and M. S. Slaughter Minimally invasive mitral valve repair using the da Vinci robotic system Ann. Thorac. Surg., June 1, 2004; 77(6): 1978 - 1984. [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. 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]
|
|
|
|
|
|
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]
|
|
|
|
|
|
J. A. Morgan, M. E. Ginsburg, J. R. Sonett, D. L.S. Morales, T. Kohmoto, L. A. Gorenstein, C. R. Smith, and M. Argenziano Advanced thoracoscopic procedures are facilitated by computer-aided robotic technology Eur. J. Cardiothorac. Surg., June 1, 2003; 23(6): 883 - 887. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
L. W. Nifong, V. F. Chu, B. M. Bailey, D. M. Maziarz, V. L. Sorrell, D. Holbert, and W. R. Chitwood Jr Robotic mitral valve repair: experience with the da Vinci system Ann. Thorac. Surg., February 1, 2003; 75(2): 438 - 443. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 L. W. Nifong and W. R. Chitwood Jr. Challenges for the Anesthesiologist: Robotics? Anesth. Analg., January 1, 2003; 96(1): 1 - 2. [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]
|
|
|
|
|
|
T. Gudbjartsson, S. Aranki, and L. H. Cohn Mechanical/Bioprosthetic Mitral Valve Replacement Card. Surg. Adult, January 1, 2003; 2(2003): 951 - 986. [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]
|
|
|
|
|
|
N. Trehan, Y. K Mishra, S. G Mathew, K. K Sharma, S. Shrivastava, and Y. Mehta Redo Mitral Valve Surgery Using the Port-Access System Asian Cardiovasc Thorac Ann, September 1, 2002; 10(3): 215 - 218. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
N. Trehan, Y. K Mishra, M. Sharma, S. Bazaz, Y. Mehta, K. K. Sharma, and S. Shrivastava Robotically Controlled Video-Assisted Port-Access Mitral Valve Surgery Asian Cardiovasc Thorac Ann, June 1, 2002; 10(2): 133 - 136. [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]
|
|
|
|
|
|
J. E. Felger, W. R. Chitwood Jr, L. W. Nifong, and D. Holbert Evolution of mitral valve surgery: toward a totally endoscopic approach Ann. Thorac. Surg., October 1, 2001; 72(4): 1203 - 1209. [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]
|
|
|
|
|
|
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]
|
|
|
|
|
|
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. Christiansen, J. Stypmann, T.D.T. Tjan, Th. Wichter, H. Van Aken, H.H. Scheld, and D. Hammel Minimally-invasive versus conventional aortic valve replacement - perioperative course and mid-term results Eur. J. Cardiothorac. Surg., December 1, 1999; 16(6): 647 - 652. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
Y. K. Mishra, R. Malhotra, Y. Mehta, K. K. Sharma, R. R. Kasliwal, and N. Trehan Minimally invasive mitral valve surgery through right anterolateral minithoracotomy Ann. Thorac. Surg., October 1, 1999; 68(4): 1520 - 1524. [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. E. Machler, P. Bergmann, M. Anelli-Monti, D. Dacar, P. Rehak, I. Knez, L. Salaymeh, E. Mahla, and B. Rigler Minimally invasive versus conventional aortic valve operations: a prospective study in 120 patients Ann. Thorac. Surg., April 1, 1999; 67(4): 1001 - 1005. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
F.W. Mohr, J.F. Onnasch, V. Falk, T. Walther, A. Diegeler, R. Krakor, F. Schneider, and R. Autschbach The evolution of minimally invasive mitral valve surgery - 2 year experience Eur. J. Cardiothorac. Surg., March 1, 1999; 15(3): 233 - 239. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 L. G. Svensson and R. P. Cambria Expanding Surgical Options Using Minimally Invasive Techniques for Cardio-aortic and Aortic Procedures Arch Surg, November 1, 1998; 133(11): 1160 - 1165. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
D. A. Cooley Minimally invasive valve surgery versus the conventional approach Ann. Thorac. Surg., September 1, 1998; 66(3): 1101 - 1105. [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 |
