Renal function after port access and median sternotomy mitral valve surgery.

Renal function after port access and median sternotomy mitral valve surgery. Research Abstract Details 

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Renal function after port access and median sternotomy mitral valve surgery. Abstract Text:

Miha Antonic,Borut Gersak,

BACKGROUND: Acute renal injury is an important postoperative complication of mitral valve surgery. We tested the hypothesis that minimally invasive port access (PA) surgery is linked to a smaller postoperative renal injury compared to the standard median Sternotomy (MS) technique. METHODS: Ninety-six patients in the PA group and 102 patients in the MS group were compared regarding postoperative renal dysfunction. Preoperative and maximal postoperative serum creatinine levels were used to calculate creatinine clearance which was implemented for the renal function assessment. Additionally, the new RIFLE classification for acute renal injury was used for the comparison of the postoperative kidney function. This classification is divided into 3 levels and in addition to the glomerular filtration rate, it is also based on urine output. RESULTS: The analysis of preoperative renal function did not demonstrate any significant differences between the two groups in any of the creatinine-based renal function markers. However, the comparison of the minimal postoperative creatinine clearance showed significantly lower values in the median sternotomy group. The conventional MS approach was confirmed as an independent renal risk factor in the multivariate analysis. The postoperative RIFLE classification comparison also showed higher postoperative renal impairment in the MS group. CONCLUSION: With the limitations of a retrospective study, our results suggest that for mitral valve surgery the minimally invasive PA approach might be associated with lower postoperative renal injury compared to the conventional surgical technique.

Renal function after port access and median sternotomy mitral valve surgery. Publishing Authors By Initials

M Antonic,B Gersak,

For similar surgical procedures, operative: surgical procedures, minimally invasive research abstracts see: surgical procedures, operative: surgical procedures, minimally invasive research

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Renal function after port access and median sternotomy mitral valve surgery. Journal Published:

PUBLICATION TYPE: Journal Article

Journal: The heart surgery forum

VOLUME: 10

Page Numbers: E401-7

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ISSN: 1522-6662

DAY: 19

MONTH: 11

YEAR: 2007

Renal function after port access and median sternotomy mitral valve surgery. Information

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LANGUAGE: eng

NlmUniqueID: 100891112

Renal function after port access and median sternotomy mitral valve surgery. Keywords Mesh Terms:

KEYWORDS: Surgical Procedures, Minimally Invasive

MESH TERMS: surgery

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Grant and Affiliation Information for Renal function after port access and median sternotomy mitral valve surgery.

AFFILIATION: Department of Cardiac Surgery, General Hospital Maribor, Maribor, Slovenia. miha.antonic@guest.arnes.si

Country: United States

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MEDLINETA: Heart Surg Forum

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