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Ann Thorac Surg 2002;73:1025
© 2002 The Society of Thoracic Surgeons

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Correspondence

The wider adoption of minimally invasive valvular heart surgery: Reply

^a New York University Medical Center, 530 First Ave, Suite 9V, New York, NY, 10016 USA

e-mail: grossi{at}cv.med.nyu.edu

To the Editor

We thank the authors for their comments. An appendix to our report that contained the details of the matching process was removed for the sake of brevity during review of the manuscript. Age was matched by 5-year increments, whereas valve type, surgeon type (only those who performed minimally invasive valve operation), history of previous cardiac surgical procedures, and presence of congestive heart failure were exactly matched. The definition of congestive heart failure was New York Heart Association class III or IV. The variables and the data form were those used by the independently audited New York State Cardiac Surgery Reporting System. Length of stay was primarily associated with type of operative procedure.

Our earlier prospective, nonrandomized study [1] showed that the minimally invasive approach is associated with reduced postoperative pain, increased speed of recovery, and improved quality of life after discharge. We continue to believe that postoperative pain and its ramifications play a major role in determining the length of stay and perioperative quality of life.

References

1. Grossi E.A., Zakow P.K., Ribakove G., et al. Comparison of post-operative pain, stress response, and quality of life in port access vs. standard sternotomy coronary bypass patients. Eur J Cardiothorac Surg 1999;16(Suppl 2):S39-S42.[Abstract/Free Full Text]

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This Article Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): Eugene A. Grossi F. Gregory Baumann Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Grossi, E. A. Articles by Baumann, F. G. Search for Related Content PubMed PubMed Citation Articles by Grossi, E. A. Articles by Baumann, F. G. Related Collections Great vessels Minimally invasive surgery Related Article