Video-assisted minimally invasive (port access) cardiac surgery: Early results

dc.authorscopusid35777926700
dc.authorscopusid6603106619
dc.authorscopusid6602832052
dc.authorscopusid57224345056
dc.authorscopusid58388993000
dc.authorscopusid6507905275
dc.authorscopusid16234240100
dc.contributor.authorGüden, M.
dc.contributor.authorSağbas, E.
dc.contributor.authorSanisoğlu, I.
dc.contributor.authorKazimoğlu, K.
dc.contributor.authorÖzbek, U.
dc.contributor.authorBayramoğlu, Z.
dc.contributor.authorOral, K.
dc.date.accessioned2023-10-19T15:05:15Z
dc.date.available2023-10-19T15:05:15Z
dc.date.issued2003
dc.department-tempGüden, M., Kadir Has Üniversitesi, Florence Nightingale Hastanesi, Kalp Damar Cerrahisi Anabilim Dali, Istanbul, Turkey; Sa?bas, E., Kadir Has Üniversitesi, Florence Nightingale Hastanesi, Kalp Damar Cerrahisi Anabilim Dali, Istanbul, Turkey; Saniso?lu, I., Kadir Has Üniversitesi, Florence Nightingale Hastanesi, Kalp Damar Cerrahisi Anabilim Dali, Istanbul, Turkey; Kazimo?lu, K., Kadir Has Üniversitesi, Florence Nightingale Hastanesi, Kalp Damar Cerrahisi Anabilim Dali, Istanbul, Turkey; Özbek, U., Kadir Has Üniversitesi, Florence Nightingale Hastanesi, Anesteziyoloji Anabilim Dali, Istanbul, Turkey; Bayramo?lu, Z., Kadir Has Üniversitesi, Florence Nightingale Hastanesi, Kalp Damar Cerrahisi Anabilim Dali, Istanbul, Turkey; Oral, K., Kadir Has Üniversitesi, Florence Nightingale Hastanesi, Kalp Damar Cerrahisi Anabilim Dali, Istanbul, Turkey; Akpinar, B., Kadir Has Üniversitesi, Florence Nightingale Hastanesi, Kalp Damar Cerrahisi Anabilim Dali, Istanbul, Turkey, Florence Nightingale Hastanesi, Kalp Damar Cerrahisi ABD, Abidei Hürriyet Cd., No: 290 Şişli-Istanbul, Turkeyen_US
dc.description.abstractObjective: This study was conducted to evaluate early results of video-assisted minimally invasive atrial septal defect closure and mitral valve surgery operations. Material and Methods: Between January and December 2002, 8 atrial septal defect (ASD) closure, 38 mitral valve replacement and 16 mitral valve repair operations were performed (n=62). The concomitant procedures were radiofrequency ablation procedure for the treatment of atrial fibrillation (n=31) and tricuspid valve repair (n=7). The mean age of the patients was 27±10.1 years in ASD group, 51.8±11 years in mitral valve replacement group, 48.2±12.5 years in mitral valve repair group. The female/male ratio was 6/2 in ASD group, 28/10 in mitral valve replacement group and 10/6 in mitral valve repair group. Mean ejection fraction was 45±7%. Cardiopulmonary bypass was initiated via femoral artery, femoral vein, percutaneous juguler vein cannulation. Procedures were performed through a 4-6 cm. anterolateral right mini thoracotomy incision with the assistance of 5 mm. endoscope. Aorta was cross-clamped using a transthoracic clamp (Chitwood), and cardioplegic arrest was achieved via antegrade blood cardioplegia. Results: Ischemic time was 39.1±14.2 minutes in ASD group. 102.2±29.4 minutes in mitral valve replacement group, and 111.1±23.3 minutes in mitral valve repair group. Total CPB time was 93.3±24.1 minutes in ASD group, whereas 158±30.8 minutes in mitral valve replacement group and 166.6±24.1 minutes in mitral valve repair group. Intensive care unit and hospital stay were 1 and 5±0.9 days for ASD group, respectively, 1.7±1.2 and 7.1±1.2 days in mitral valve replacement group and 1.8±1.3 and 8±1.7 days in mitral valve repair group. There was only one mortality due to pulmonary infection (1.6%). Myocardial infarction, neurological event or complication due to cannulation were not observed. There were 2 reoperations due to bleeding (3.2%). There were no procedure related complications. Transesophageal echocardiography at the end of the operation revealed competent mitral valves with no insufficiency in 14 patients and minimal regurgitation in two patients in the repair group and no leakage in ASD closure and mitral valve replacement group. Conclusion: Video assisted minimally invasive valve and ASD closure operations could be performed safely and efficiently. This technique provides better cosmetic and reliable surgical results with superior patient satisfaction. We can recommend this technique in selected group of patients.en_US
dc.identifier.citation0
dc.identifier.endpage130en_US
dc.identifier.issn1016-5169
dc.identifier.issn1016-5169
dc.identifier.issue3en_US
dc.identifier.scopus2-s2.0-0037344639en_US
dc.identifier.scopusqualityQ3
dc.identifier.startpage125en_US
dc.identifier.urihttps://hdl.handle.net/20.500.12469/4774
dc.identifier.volume31en_US
dc.identifier.wosqualityN/A
dc.khas20231019-Scopusen_US
dc.language.isotren_US
dc.relation.ispartofTurk Kardiyoloji Dernegi Arsivien_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectMinimally invasiveen_US
dc.subjectMitral valveen_US
dc.subjectPart-accessen_US
dc.subjectadolescenten_US
dc.subjectadulten_US
dc.subjectaorta clampingen_US
dc.subjectarticleen_US
dc.subjectbleedingen_US
dc.subjectcardioplegiaen_US
dc.subjectcardiopulmonary bypassen_US
dc.subjectcatheter ablationen_US
dc.subjectcause of deathen_US
dc.subjectendoscopic surgeryen_US
dc.subjectevaluationen_US
dc.subjectfemaleen_US
dc.subjectfemoral arteryen_US
dc.subjectfemoral veinen_US
dc.subjectheart atrium fibrillationen_US
dc.subjectheart atrium septum defecten_US
dc.subjectheart ejection fractionen_US
dc.subjectheart surgeryen_US
dc.subjecthospitalizationen_US
dc.subjecthumanen_US
dc.subjectintensive care uniten_US
dc.subjectjugular veinen_US
dc.subjectlength of stayen_US
dc.subjectlung infectionen_US
dc.subjectmajor clinical studyen_US
dc.subjectmaleen_US
dc.subjectminimally invasive surgeryen_US
dc.subjectmitral valve regurgitationen_US
dc.subjectmitral valve replacementen_US
dc.subjectmortalityen_US
dc.subjectoperation durationen_US
dc.subjectoutcomes researchen_US
dc.subjectpatient satisfactionen_US
dc.subjectpatient selectionen_US
dc.subjectradiofrequencyen_US
dc.subjectreoperationen_US
dc.subjectsurgical approachen_US
dc.subjectsurgical techniqueen_US
dc.subjectthoracotomyen_US
dc.subjecttransesophageal echocardiographyen_US
dc.subjecttricuspid valve diseaseen_US
dc.subjectvascular accessen_US
dc.titleVideo-assisted minimally invasive (port access) cardiac surgery: Early resultsen_US
dc.title.alternativeVi?deo yardimi i?le mi?ni?mal i?nvazi?f "port-akses" kalp cerrahi?si? erken dönem sonuçlarien_US
dc.typeArticleen_US
dspace.entity.typePublication

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