Minimally invasive redo mitral valve surgery without aortic crossclamp

Rodrigo Milani, Paulo Roberto Slud Brofman, Sergio Oliveira, Luiz Patrial Neto, Matheus Rosa, Victor Hugo Lima, Luis Fernando Binder, Aline Sanches
2013 Brazilian Journal of Cardiovascular Surgery  
Rev Bras Cir Cardiovasc | Braz J Cardiovasc Surg Rev Bras Cir Cardiovasc 2013;28(3):325-30 Milani R, et al. -Minimally invasive redo mitral valve surgery without aortic crossclamp RBCCV 44205-1477 Abstract Introduction: Reoperations of the mitral valve have a higher rate of complications when compared with the first surgery. With the field of video-assisted techniques for the first surgery of mitral valve became routine, reoperation cases began to arouse interest for this less invasive
more » ... s invasive procedures. Objective: To assess the results and the technical difficulties in 10 patients undergoing minimally invasive redo mitral valve surgery. Method: Cardiopulmonary bypass was installed through a cannula placed in the femoral vessels and right internal jugular vein, conducted in 28 degrees of temperature in ventricular fibrillation. A right lateral thoracotomy with 5 to 6 cm in the third or fourth intercostal space was done, pericardium was displaced only at the point of atriotomy. The aorta was not clamped. Results: Ten patients with mean age of 56.9 ± 10.5 years, four were in atrial fibrilation rhythm and six in sinusal. Average time between first operation and reoperations was 11 ± 3.43 years. The mean EuroSCORE group was 8.3 ± 1.82. The mean ventricular fibrillation and cardiopulmonary bypass was respectively 70.9 ± 17.66 min and 109.4 ± 25.37 min. The average length of stay was 7.6 ± 1.5 days. There were no deaths in this series. Conclusion: Mitral valve reoperation can be performed through less invasive techniques with good immediate results, low morbidity and mortality. However, this type of surgery re-Rev Bras Cir Cardiovasc | Braz J Cardiovasc Surg Rev Bras Cir Cardiovasc 2013;28(3):325-30 Milani R, et al. -Minimally invasive redo mitral valve surgery without aortic crossclamp Rev Bras Cir Cardiovasc | Braz J Cardiovasc Surg Rev Bras Cir Cardiovasc 2013;28(3):325-30 Milani R, et al. -Minimally invasive redo mitral valve surgery without aortic crossclamp Rev Bras Cir Cardiovasc | Braz J Cardiovasc Surg Rev Bras Cir Cardiovasc 2013;28(3):325-30 Milani R, et al. -Minimally invasive redo mitral valve surgery without aortic crossclamp
doi:10.5935/1678-9741.20130051 pmid:24343681 fatcat:mgr2dgrcfvfp3hsvgteo4k4dfy