Our results of cardiac surgery performed with a right infra-axillary mini thoracotomy
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Tarih
2021
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Aim: The aim of the study is to share the technique and results of heart surgery performed with right infra-axillary minithoracotomy.Materyal and Method: Between March 2013 and July 2014, 16 heart operations were performed with right infra-axillary minithoracotomy incision. Patient data were analyzed retrospectively. These are 6 mitral valve replacement (MVR), 3 aortic valvereplacement (AVR), 2 AVR+MVR, 2 atrial septal defect (ASD) repair, 1 myxoma excision. One of them is AVR+tricuspid ringannuloplasty operation and MVR performed due to reoperation. Radiofrequency (RF) ablation was also applied to 1 patientwho underwent MVR due to atrial fibrillation. In these operations, thoracotomy was performed through the right anteriorinfra-axillary line. A parabolic incision of 6-8 cm was made at the 3rd intercostal space (ICA) for aortic valve interventions andat the 4th ICA level for other valve interventions. No special surgical instruments were used in the operations except standardsurgical instruments. All cannulation procedures were carried out through the existing thoracotomy incision.Results: No mortality or morbidity was observed as a result of the operations. The mean extracorporeal circulation (ECC)time was 95±11 minutes, and the mean cross clamp (CC) time was 61±9 minutes. There was an average of 380±35 cc drainage.Extubation time was 7±2.3 hours on average. All patients were taken to the service after 1±0.5 day of intensive care treatment.They were discharged from the hospital in an average of 6±1.5 days. Incision site infection was not observed in any patient.No patients were revised due to bleeding. One patient who was ablated for atrial fibrillation (AF) developed postoperative AFagain. He was discharged with medical treatment and speed control.Conclusion: In this study, we think that heart surgeries with right infra-axillary mini thoracotomy incision may be a goodalternative to standard sternotomy and other minimally invasive methods in heart surgery. With standard surgical instrumentsand cannulation through a single incision, not only the mitral valve but also the aortic valve, tricuspid valve and other cardiacpathologies can be easily intervened. However, very good results are obtained in patients cosmetically.
Açıklama
Anahtar Kelimeler
Kalp ve Kalp Damar Sistemi, Cerrahi
Kaynak
Journal of health sciences and medicine (Online)
WoS Q Değeri
Scopus Q Değeri
Cilt
4
Sayı
2
