ATS
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Author home page(s):
Yugal K. Mishra
Rajneesh Malhotra
Naresh Trehan
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Mishra, Y. K.
Right arrow Articles by Trehan, N.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Mishra, Y. K.
Right arrow Articles by Trehan, N.

Ann Thorac Surg 1999;68:1520-1524
© 1999 The Society of Thoracic Surgeons

Supplement: Minimally Invasive Cardiac Surgery

Minimally invasive mitral valve surgery through right anterolateral minithoracotomy

Yugal K. Mishra, PhDa, Rajneesh Malhotra, MCha, Yatin Mehta, MDa, Krishna K. Sharma, MDa, Ravi R. Kasliwal, MDa, Naresh Trehan, MDa

a Escorts Heart Institute and Research Centre, New Delhi, India

Address reprint request to Dr Mishra, Escorts Heart Institute and Research Centre, Okhla Rd, New Delhi-110 025, India
e-mail: ehirc{at}vsnl.com

Presented at Evolving Techniques and Technologies in Minimally Invasive Cardiac Surgery, San Antonio, TX, Jan 22–23, 1999.

Abstract

Background. This study evaluates the feasibility of minimally invasive mitral valve surgery. The aim of the study was to minimize surgical access to achieve better cosmetic results, less postoperative discomfort, and faster recovery.

Methods. From September 1997 to October 1998, 76 patients underwent mitral valve surgery through a right anterolateral minithoracotomy at the fourth intercostal space. The mitral valve was either repaired (n = 21) or replaced (n = 55). In all cases, open femoral artery-femoral vein cannulation was used for cardiopulmonary bypass. In 27 cases, an endoluminal aortic clamp was used, but in 49 cases, the aorta was cross-clamped with a transthoracic, sliding-rod-design clamp.

Results. There were no approach-related limitations to surgical intervention. Intraoperative transesophageal echocardiography revealed excellent results after valve repair and no paravalvular leak in any patient after mitral valve replacement. Mean duration of intensive care and postoperative hospital stay was 32 ± 5.2 hours and 7 ± 1.1 days, respectively. There were no major complications related to femoral vessel cannulation. In 1 patient, transient neurological problems developed, with subsequent complete recovery. There was one hospital mortality (85-year-old male patient died of upper GI bleeding).

Conclusions. Minimally invasive port access mitral valve surgery can accelerate recovery and decrease pain, while maintaining overall surgical efficacy. It also provides better cosmetic results to our patients, and now it has become our standard approach for isolated mitral valve surgery.




This article has been cited by other articles:


Home page
 ICVTSHome page
J. H. Karimov, S. Bevilacqua, M. Solinas, and M. Glauber
Triple heart valve surgery through a right antero-lateral minithoracotomy
Interactive CardioVascular and Thoracic Surgery, August 1, 2009; 9(2): 360 - 362.
[Abstract] [Full Text] [PDF]

Home page
 MMCTSHome page
M. Glauber, J. H. Karimov, P. A. Farneti, A. G. Cerillo, F. Santarelli, M. Ferrarini, P. Del Sarto, M. Murzi, and M. Solinas
Minimally invasive mitral valve surgery via right minithoracotomy
MMCTS, January 22, 2009; 2009(0122): 3350.
[Abstract] [Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
E. Bean, G. Chanoit, S. Jernigan, G. Bolotin, J. Osborne, and G. Buckner
Evaluation of a novel atrial retractor for exposure of the mitral valve in a porcine model.
J. Thorac. Cardiovasc. Surg., December 1, 2008; 136(6): 1492 - 1495.
[Abstract] [Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
P. C. Saunders, E. A. Grossi, R. Sharony, C. F. Schwartz, G. H. Ribakove, A. T. Culliford, J. Delianides, F. G. Baumann, A. C. Galloway, and S. B. Colvin
Minimally invasive technology for mitral valve surgery via left thoracotomy: Experience with forty cases
J. Thorac. Cardiovasc. Surg., April 1, 2004; 127(4): 1026 - 1032.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
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]

Home page
 Asian Cardiovasc. Thorac. Ann.Home page
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]

Home page
 Ann. Thorac. Surg.Home page
D. C. Angouras and R. E. Michler
An alternative surgical approach to facilitate minimally invasive mitral valve surgery
Ann. Thorac. Surg., February 1, 2002; 73(2): 673 - 674.
[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
Copyright © 1999 by The Society of Thoracic Surgeons.