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Minimally Invasive Techniques in Cardiac Surgery: An Opportunity for All Patients?

  • Leonardo Patanè
  • Alfio Cavallaro
Conference paper

Abstract

Cardiac operations have traditionally been carried out through the median sternotomy approach and cardiopulmonary by-pass (CPB). However, the procedures are associated with complications, such as infection, dehiscence, mediastinitis, and neurological problems, some of which have an unacceptably high mortality rate. CPB, in particular, is responsible for diverse objective problems, such as hemolysis, heparin rebound phenomena, complement activation, and deterioration of the immune system, as well as subjective factors related to the degree of surgical invasiveness, such as poor appetite, insomnia, depression, visual, memory, intellectual deficits, and loss of sexual ability.

Keywords

Mitral Valve Left Anterior Descend Coronary Artery Bypass Graft Surgery Mitral Valve Repair Invasive Cardiac Surgery 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. 1.
    Mack MJ (2006) Minimally invasive cardiac surgery. Surg Endosc Suppl 2:S488–492CrossRefGoogle Scholar
  2. 2.
    King RC, Reece TB, Hurst JL et al (1997) Minimally invasive coronary artery bypass grafting decreases hospital stay and cost. Ann Surg Jun 225:805–811CrossRefGoogle Scholar
  3. 3.
    Del Rizzo DF, Boyd WD, Novick RJ et al (1998) Safety and cost-effectiveness of MIDCABG in high-risk CABG patients. Ann Thorac Surg 66:1002–1007PubMedCrossRefGoogle Scholar
  4. 4.
    Magovern JA, Benckart DH, Landreneau RJ et al (1998) Morbidity, cost, and six-month outcome of minimally invasive direct coronary artery bypass grafting. Ann Thorac Surg 66:1224–1229PubMedCrossRefGoogle Scholar
  5. 5.
    Arom KV, Emery RW, Flavin TF et al (1999) Cost-effectiveness of minimally invasive coronary artery bypass surgery. Ann Thorac Surg 68:1562–1566PubMedCrossRefGoogle Scholar
  6. 6.
    Benetti FJ, Ballester C, Sani G et al (1995) Video assisted coronary bypass surgery. J Card Surg 10:620–625PubMedCrossRefGoogle Scholar
  7. 7.
    Vanermen H, Wellens F, De Geest R et al (1999) Video-assisted Port-Access mitral valve surgery: from debut to routine surgery. Will Trocar-Port-Access cardiac surgery ultimately lead to robotic cardiac surgery. Semin Thorac Cardiovasc Surg 11:223–234PubMedGoogle Scholar
  8. 8.
    Schwartz DS, Ribakove GH, Grossi EA et al (1997) Minimally invasive mitral valve replacement Port-Access technique, feasibility and miocardial functional preservation. J Thorac Cardiovasc Surg 113:1022–1031PubMedCrossRefGoogle Scholar
  9. 9.
    Diegeler A, Matin M, Falk V et al (1999) Indication and patient selection in minimally invasive and off-pump coronary artery bypass grafting. Eur J Cardiothorac Surg Suppl 1:S79–S82CrossRefGoogle Scholar
  10. 10.
    Acuff TE, Landreneau RJ, Griffith BP, Mack MJ (1996) Minimally invasive coronary artery bypass grafting. Ann Thorac Surg 61:135–137PubMedCrossRefGoogle Scholar
  11. 11.
    Cohn LH, Adams DH, Couper GS et al (1997) Minimally invasive cardiac valve surgery improves patient satisfaction while reducing costs of cardiac valve replacement and repair. Ann Surg 226:421–426PubMedCrossRefGoogle Scholar
  12. 12.
    Cosgrove DM 3rd, Sabik JF, Navia JL (1998) Minimally invasive valve operations. Ann Thorac Surg 65:1535–1539PubMedCrossRefGoogle Scholar
  13. 13.
    Mack MJ, Acuff T, Osborne J (1998) Minimally invasive direct coronary artery bypass: technical considerations and instrumentation. J Card Surg 13:290–296PubMedCrossRefGoogle Scholar
  14. 14.
    Chitwood R Jr (2000) Video-assisted mitral valve surgery using the Chitwood clamp. Oper Techn Thorac Cardiovasc Surg 5:176–189CrossRefGoogle Scholar
  15. 15.
    Fann JI, Pompili MF, Stevens JH et al (1997) Port-Access cardiac operations with cardioplegic arrest. Ann Thorac Surg Jun 63(6 Suppl):S35–S39CrossRefGoogle Scholar
  16. 16.
    Glower DD, Landolfo KP, Clements F et al (1998) Mitral valve operation via Port Access versus median st ernotomy. Eur J Car diothorac Surg 14:S143–S147CrossRefGoogle Scholar
  17. 17.
    Bonatti J, Schachner T, Bonaros N et al (2006) Technical challenges in totally endoscopic robotic coronary artery bypass grafting. J Thorac Cardiovasc Surg 131:146–153PubMedCrossRefGoogle Scholar
  18. 18.
    Schroeyers P, Wellens F, De Geest R et al (2001) Minimally invasive video-assisted mitral valve repair: short and mid-term results. J Heart Valve Dis 10:579–583PubMedGoogle Scholar
  19. 19.
    Vaca KJ, Daake C, Lambrecht DS (1997) Nursing care patients undergoing thorascopic minimally invasive bypass grafting. Am J Crit Care 6:281–286PubMedGoogle Scholar
  20. 20.
    Chitwood WR Jr, Nifong LW (2003) Minimally invasive and robotic valve surgery. In: Cohn LH, Edmunds LH Jr (eds) Cardiac surgery in the adult. McGraw-Hill, New York, pp 1075–1092Google Scholar

Copyright information

© Springer-Verlag Italia 2007

Authors and Affiliations

  • Leonardo Patanè
    • 1
  • Alfio Cavallaro
    • 1
  1. 1.Centro Cuore MorgagniISCASPedara (CT)Italy

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