Cardiac Surgery Through Minithoracotomy
Josias Rios, Julio Morón, Yemmy Perez.
National Cardiovascular Institute, Lima, Peru.
Determine the mortality and major cardiovascular events of minimally invasive cardiac surgery. Quantify the use of blood components, rate of reoperations and intensive care unit (ICU) stay.
Retrospective study between 2013-2016. The surgical aproach used was the right minithoracotomy with direct vision. Extracorporeal circulation was performed with cannulation of the femoral artery and the femoral and jugular veins (when necessary).
Between 2013 and 2016 we operated 71 patients through right minithoracotomy, 80% men, 20% women, average age 47.8 years, average Euroscore II 1.6. We performed 27 interatrial closure surgeries (10 with tricuspid valve repair), 29 mitral valve replacements , 6 mitral valve repairs , 5 aortic valve replacements and 4 intraauricular tumor excisions. The 30-day mortality was 1.4% (1 patient who presented atrioventricular disruption post mitral valve replacement). One patient had a stroke and another patient reentered to the operating room for bleeding. 32 patients (45%) required blood transfusion in the intra or postoperative period. The mean time to endotracheal intubation was 11.3 hours and the average stay in the ICU was 2.1 days.
Mini-invasive cardiac surgery through right minithoracotomy is a safe procedure with acceptable rates of mortality in our center.
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