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Journal of Cardiothoracic Surgery

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Open Access 01-12-2023 | Incision | Original Research

Minimally invasive valve surgery including patients of combined simultaneous surgery: a retrospective study

Authors: Yun Ling, Huaxin Chen, Pengxiong Zhu, Tian Li, Bangde Xue, Jun Liu

Published in: Journal of Cardiothoracic Surgery | Issue 1/2023

Abstract

Objective

This study investigated the perioperative safety and advantages of performing a minimally invasive valve surgery (MIVS) and conducting a preliminary examination of the combined simultaneous surgery (CSS).

Methods

A total of 29 patients (16 men and 13 women; mean age, 58.41 ± 13.08 years) who underwent MIVS at our center from July 2021 to March 2022 were selected. Among them, 16 patients underwent aortic valve surgery (AVS), 13 patients underwent mitral valve surgery (MVS), and four patients additionally underwent CSS.

Results

The MIVS time ranged from 165 to 420 min, with a mean of 230.54 ± 54.61 min; the cardiopulmonary bypass (CPB) time ranged from 54 to 164 min, with a mean of 120.24 ± 25.98 min; the aortic cross-clamp (ACC) time ranged from 36 to 118 min, with a mean of 78.66 ± 21.01 min and an automatic heart resuscitating rate was 89.66%; the mean tracheal intubation time was 6.30 ± 3.87 h, and the median total postoperative drainage was 317.5 (35, 1470) ml. No difference was observed between preoperative and postoperative left ventricular ejection fraction (LVEF) (61.90% ± 6.28% vs. 60.21% ± 5.52%, P = 0.281). The difference in postoperative drainage (419.20 ml ± 377.20 ml vs. 588.75 ml ± 673.63 ml, P = .461), tracheal intubation time (6.66 h ± 4.27 h vs. 4.63 h ± 1.11 h, P = .359), intensive care unit (ICU) stay (3.96 ± 8.62 days vs. 2.00 ± 0.816 days, P = .658), and postoperative hospital stay (9.96 ± 8.45 days vs. 8.25 ± 1.26 days, P = .694) between MIVS and CSS was not significant.

Conclusion

MIVS in our center may be safe and effective. Additionally, CSS may be a feasible option that could be performed after a thorough preoperative evaluation and multidisciplinary discussion.

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Title: Minimally invasive valve surgery including patients of combined simultaneous surgery: a retrospective study
Authors: Yun Ling
Huaxin Chen
Pengxiong Zhu
Tian Li
Bangde Xue
Jun Liu
Publication date: 01-12-2023
Publisher: BioMed Central
Keywords: Incision
Transcatheter Aortic Valve Implantation
Valvuloplasty
Valvuloplasty
Valvuloplasty
Heart Valve Surgery
Heart Valve Surgery
Heart Valve Surgery
Published in: Journal of Cardiothoracic Surgery / Issue 1/2023
Electronic ISSN: 1749-8090
DOI: https://doi.org/10.1186/s13019-023-02361-8

2024 ASCO Annual Meeting

Springer Medicine

Minimally invasive valve surgery including patients of combined simultaneous surgery: a retrospective study

Abstract

Objective

Methods

Results

Conclusion

2024 ASCO Annual Meeting

Springer Medicine

Abstract

Objective

Methods

Results

Conclusion

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