Ct04 ultra minimally invasive mitral valve surgery without aortic cross clamp.

Ct04 ultra minimally invasive mitral valve surgery without aortic cross clamp. Research Abstract Details 

Research Abstract Table of Contents

Jump to the:

Ct04 ultra minimally invasive mitral valve surgery without aortic cross clamp. Abstract Text:

S Kumar,R Ahmad,J Greelish,M Petracek,J Balaguer,J Byrne,

Objective We developed a technique for mitral valve surgery through an ultra small (5 cm) right lateral thoracotomy without aortic cross clamp. This study reports our combined ST. Thomas and Vanderbilt Heart Institutes five years experience with this technique. Methods Six hundred and twenty five (316 M /309 F; aged 22-75 mean of 62 years) underwent ultra minimally invasive mitral valve surgery between August 2000 and June 2006. Through a 5 centimeter right lateral thoracotomy along the 4th intercostal space access to the pericardium and the left atrium was gained. Cardiopulmonary bypass was instituted through femoral cannulation. Under cold fibrillatory arrest (28 degrees C) without aortic cross clamp, mitral valve repair (n = 196) or replacement (n = 380), in addition to mitral valve procedure we performed tricuspid valve repair (n = 69), ASD/PFO closure (n = 201) and Maze (n = 156). Mean pre operative New York Heart Association function class was 2.2 +/- 0.9. Twenty eight patients had ejection fraction less than 20%. Results Thirty-day mortality was 1.28% (n = 8), Operating time, bypass time operating averaged 189 +/- 52, 113 +/- 35 minutes, respectively. Three patients had conversion to sternotomy. Fifteen patients (2.4%) underwent reexploration for bleeding. Average length of hospital stay from surgery to discharge was 6.85 +/- 3 days. Ten patients (1.6%) had neurological events. Renal failure required hemodialysis in 5 patients (0.81%). Long term follow-up results are awaited. Conclusions This study demonstrate that this simplified technique of ultra minimally invasive mitral valve surgery is reproducible and provides the least invasive operative approach with low mortality and morbidity with good cosmetic results.

Ct04 ultra minimally invasive mitral valve surgery without aortic cross clamp. Publishing Authors By Initials

S Kumar,R Ahmad,J Greelish,M Petracek,J Balaguer,J Byrne,

For similar abstracts research abstracts see: abstracts research

PUBMED ID PMID:

MEDLINE DATE:

Ct04 ultra minimally invasive mitral valve surgery without aortic cross clamp. Journal Published:

PUBLICATION TYPE: Journal Article

Journal: ANZ journal of surgery

VOLUME: 77 Suppl 1

Page Numbers: A8

Journal Abbreviation:

ISSN: 1445-1433

DAY: 10

MONTH: May

YEAR: 2007

Ct04 ultra minimally invasive mitral valve surgery without aortic cross clamp. Information

Number of References:

LANGUAGE: eng

NlmUniqueID: 101086634

Ct04 ultra minimally invasive mitral valve surgery without aortic cross clamp. Keywords Mesh Terms:

KEYWORDS:

MESH TERMS:

Chemical & Substance for Abstract: Ct04 ultra minimally invasive mitral valve surgery without aortic cross clamp. Information

Substance Name:

Registry Number:

Grant and Affiliation Information for Ct04 ultra minimally invasive mitral valve surgery without aortic cross clamp.

AFFILIATION: Vanderbilt Heart Institue, Nashville, TN, United States.

Country: Australia

AGENCY:

GRANT:

ACRONYM:

MEDLINETA: ANZ J Surg

REFSOURCE:

DATABASENAME:

ACCESSION NUMBER:

Number Hits: 0

Ct04 ultra minimally invasive mitral valve surgery without aortic cross clamp Related Publications

• AKT-dependent HspB1 (Hsp27) activity in epidermal differentiation.
• Ape society: trading favours.
• Chlamydia pneumoniae--induced macrophage foam cell formation is mediated by Toll-like receptor 2.
• Ct01 impact of completion angiography after surgical coronary revascularization.
• Ct04 ultra minimally invasive mitral valve surgery without aortic cross clamp.
• Different growth rates of Chlamydia trachomatis biovars reflect pathotype.
• Differential effects of fatness, fitness and physical activity energy expenditure on whole-body, liver and fat insulin sensitivity.
• Dynamics of a minimal model of interlocked positive and negative feedback loops of transcriptional regulation by cAMP-response element binding proteins.
• Early mortality from the time of diagnosis of Type 2 diabetes: a 5-year prospective cohort study with a local age- and sex-matched comparison cohort.
• Ethical issues regarding live kidney transplantation.
• Extensive endarteritis obliterans in a case of lupus panniculitis with membranocystic changes and dystrophic calcification: a pathogenetic link?
• Feeding behavior of Aplysia: a model system for comparing cellular mechanisms of classical and operant conditioning.
• Forward-masked monaural and interaural intensity discrimination.
• Global transcriptional upregulation in the absence of increased translation in Chlamydia during IFNgamma-mediated host cell tryptophan starvation.
• Grip strength and the metabolic syndrome: findings from the Hertfordshire Cohort Study.
• Guest editorial: unlocking potential -- coaching as a means to enhance leadership and role performance in nursing.
• Interactions between microvascular and macrovascular disease in diabetes: pathophysiology and therapeutic implications.
• Interventional neuroradiology.
• Is there a lawyer in the house: the law of global public health?
• Language approaches used with deaf pupils in Scottish schools: 2001-2004.
• Long-term sensitization training produces spike narrowing in Aplysia sensory neurons.
• Long-term skeletal muscle protection after gene transfer in a mouse model of LGMD-2D.
• Modulation of sterol regulatory element binding proteins (SREBPs) as potential treatments for non-alcoholic fatty liver disease (NAFLD).
• Oxygenation failure during cardiopulmonary bypass prompts new safety algorithm and training initiative.
• Pathoetiology of motor neuron disease: new insights from genetics and animal models.
• Physiological Correction of Pompe Disease by Systemic Delivery of Adeno-associated Virus Serotype 1 Vectors.
• Preclinical characterization of a recombinant adeno-associated virus type 1-pseudotyped vector demonstrates dose-dependent injection site inflammation and dissemination of vector genomes to distant sites.
• Structures of OppA and PstS from Yersinia pestis indicate variability of interactions with transmembrane domains.
• The p47 GTPases Iigp2 and Irgb10 regulate innate immunity and inflammation to murine Chlamydia psittaci infection.
• The role of vascular risk factors in late onset bipolar disorder.