Port-access cardiac surgery
Objectives: We reviewed our experience with port-access cardiac surgery and evaluated the medical effects and benefits of this technique in view of postoperative quality of life and medical expenses incurred during hospitalization.Methods: From June 1998 to August 2000, port-access cardiac surgery was conducted on 34 patients—22 with atrial septal defect, 6 with mitral regurgitation, 2 with coronary artery disease, 2 with partial endocardial cushion defect, 1 with ventricular septal defect, and 1 with atrial and ventricular septal defects. Two types of endoaortic-balloon catheters were used to execute aortic cross-clamping. Skin incisions were 5 cm long.Results: No hospital or late deaths were observed. Patients with atrial septal defect were discharged on postoperative day 3.7, patients of mitral regurgitation on postoperative day 4.2, and patient of ventricular septal defect on postoperative day 4.0 on the average. None were readmitted. Patients appeared undisturbed by early discharge and were able to resume physical work on day 22 on the average after discharge.Conclusion: Patients undergoing port-access cardiac surgery recovered quickly from surgery and resumed work quickly. This technique thus proved satisfactory both physically and mentally to patients and improved their quality of life. Medically and economically this technique proved extremely beneficial. We confirmed it to constitute a viable approach and option for cardiac surgery in selected patients.
Key wordsport-access minimally invasive cardiac surgery quality of life direct endoaortic-balloon catheter Heartport
Unable to display preview. Download preview PDF.
- 6.Cosgrove DM, Sabik JF, Navie J. Minimally invasive valve surgery: presented at the 33rd, Annual Meeting of the Society of Thoracic Surgeons, San Diego, CA, January 1997.Google Scholar
- 9.Yozu R, Shin H, Maehara T, Matayoshi T, Kawada S. Basic approaches in minimally invasive cardiac surgery and its selection. Jpn J Surg 1998; 99: 831–6.Google Scholar
- 12.Yozu R, Shin H, Mitsumaru A, Matayoshi T, Morita M, Tsutsui N et al. New end-aortic occlusion balloon for minimally invasive cardiac surgery (MICS)—development and clinical evaluation—Read at the 16th Annual Meeting of the American Society for Artificial Internal Organs, New York, USA. June 28–30, 2000, abstract: ASAIO Journal 46: 172.Google Scholar