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Ann Thorac Surg 1996;61:1786-1787
© 1996 The Society of Thoracic Surgeons

Invited Commentary

Invited Commentary

Bruce A. Reitz, MD

Department of Cardiothoracic Surgery, Stanford University School of Medicine, Stanford, CA 94305

The first 20% of the full text of this article appears below.

See also page 1781.

Small incisions and a variety of instruments and videoscopes designed to allow minimally invasive operations are currently revolutionizing many surgical disciplines. Although the technical challenges are great when considering cardiac operations, Dr Pyng Jing Lin and colleagues from the Chang Gung Memorial Hospital in Taipei, Taiwan, are to be congratulated for their early efforts. In their report, 2 patients with mitral valve disease were treated by a small anterior thoracotomy incision with assisted visualization using a video thoracoscope. The clotted mitral prosthesis in 1 patient was debrided, and the mitral regurgitation created when a chordal rupture occurred was effectively repaired. Lin and associates clearly point out that their operative times, cardiopulmonary bypass times, and lengths of stay in both the intensive care unit and in the hospital are not different from standard mitral valve operations. In fact, the intraoperative times are probably considerably prolonged. However, the early results in these 2 patients are promising and suggest that, even with these deficiencies, the patients made nice recoveries and were doing well at follow-up.

. . . [Full Text of this Article]


Related Article

Video-Assisted Mitral Valve Operations
Pyng Jing Lin, Chau-Hsiung Chang, Jaw-Ji Chu, Hui-Ping Liu, Feng-Chun Tsai, Po-Hsien Chu, Cheng-Wen Chiang, Min-Wen Yang, Ming-Hwang Shyr, and Peter P. C. Tan
Ann. Thorac. Surg. 1996 61: 1781-1786. [Abstract] [Full Text]





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