The Evolution of the Minimally Invasive Approach and Conventional Median Sternotomy for Coronary Artery Fistula Correction

2019 ◽  
Vol 28 (8) ◽  
pp. 1277-1282 ◽  
Author(s):  
Laichun Song ◽  
Yaling Dong ◽  
Bo Wang ◽  
Jinjun Li ◽  
Xiaofei Qi ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Minimally Invasive ◽  
Median Sternotomy ◽  
Coronary Artery Fistula ◽  
Minimally Invasive Approach ◽  
Invasive Approach

scholarly journals Minimally invasive approach for coronary artery fistula correction

2016 ◽  
pp. ivw316 ◽  
Author(s):  
Laichun Song ◽  
Bo Wang ◽  
Jing Jin ◽  
Zhengdong Hua ◽  
Huadong Yu ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Minimally Invasive ◽  
Coronary Artery Fistula ◽  
Minimally Invasive Approach ◽  
Invasive Approach

Surgical Technique: Papillary Muscle Sling for Functional Mitral Regurgitation during Minimally Invasive Valve Surgery

2013 ◽  
Vol 16 (5) ◽  
pp. E295-E297 ◽  
Author(s):  
Joseph Lamelas ◽  
Christos Mihos ◽  
Orlando Santana
Keyword(s):  
Mitral Regurgitation ◽  
Minimally Invasive ◽  
Median Sternotomy ◽  
Rational Approach ◽  
Functional Mitral Regurgitation ◽  
Minimally Invasive Approach ◽  
Invasive Approach ◽  
Mitral Annuloplasty ◽  
Technical Details ◽  
Mitral Apparatus

In patients with functional mitral regurgitation, the placement of a sling encircling both papillary muscles in conjunction with mitral annuloplasty appears to be a rational approach for surgical correction, because it addresses both the mitral valve and the deformities of the subvalvular mitral apparatus. Reports in the literature that describe the utilization of this technique are few, and mainly involve a median sternotomy approach. The purpose of this communication is to describe the technical details of performing this procedure via a minimally invasive approach.

scholarly journals Hybrid Surgical and Catheter Treatment for Atrial Fibrillation

2013 ◽  
Vol 2013 ◽  
pp. 1-5 ◽  
Author(s):  
Tsuyoshi Kaneko ◽  
Sary F. Aranki
Keyword(s):  
Atrial Fibrillation ◽  
Minimally Invasive ◽  
Median Sternotomy ◽  
Hybrid Procedure ◽  
Minimally Invasive Approach ◽  
Surgical Ablation ◽  
Invasive Approach ◽  
Minimally Invasive Surgical ◽  
Linear Ablation ◽  
New Energy

Advances in surgery for atrial fibrillation from cut and sew technique to thoracoscopy and new energy source have enabled minimally invasive approach which avoids median sternotomy and cardiopulmonary bypass. However, minimally invasive approach is unable to match the outcome of classic surgical technique due to difficulty in creating some of linear ablation lines. Hybrid procedure using catheter mapping and ablation in addition to minimally invasive surgical ablation has gained interest to combine the advantages of both procedures. No large study has been conducted to date comparing this new technique to other existing treatments. The aim of this paper is to review the data on hybrid procedure for atrial fibrillation and assess its early outcome and efficacy.

Experience with a Minimally Invasive Approach to Combined Valve Surgery and Coronary Artery Bypass Grafting through Bilateral Thoracotomies

2013 ◽  
Vol 16 (3) ◽  
pp. 125 ◽  
Author(s):  
Pieter J. S. Smit ◽  
Masood A. Shariff ◽  
John P. Nabagiez ◽  
Muhammad A. Khan ◽  
Scott M. Sadel ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Minimally Invasive ◽  
Artery Bypass ◽  
Median Sternotomy ◽  
Valve Surgery ◽  
Invasive Approach ◽  
Invasive Group ◽  
The Mean ◽  
Artery Disease ◽  
Mean Time

<p><b>Background:</b> Minimally invasive coronary artery bypass grafting (MICS-CABG) and minimally invasive valve surgery (MIVS) have been used independently to manage occlusive coronary artery disease and valvular diseases, respectively. We present 12 patients who underwent combined MICS-CABG and MIVS via bilateral mini-thoracotomies.</p><p><b>Methods:</b> We retrospectively reviewed 116 consecutive valve/CABG operations by a single surgeon and compared the outcomes obtained via sternotomy with those obtained via bilateral minithoracotomies.</p><p><b>Results:</b> Six patients in the MIVS group underwent aortic valve replacement (sternotomy group, n = 70), 3 patients underwent mitral valve repair (sternotomy group, n = 9), and 3 underwent mitral valve replacement (sternotomy group, n = 25). The minimally invasive valve surgeries were combined with MICS-CABG for single- (n = 2), double- (n = 9), and triple-vessel (n = 1) coronary artery disease in a single operation. The mean SD duration of cardiopulmonary bypass was 164 ± 44.6 minutes (mean time via sternotomy, 152 ± 50.5 minutes; <i>P</i> = .4146), and the mean aortic cross-clamp time was 87.8 ± 22.1 minutes (mean time via sternotomy, 105 ± 39.8 minutes; <i>P</i> = .1455). The use of perioperative blood transfusions averaged to 2.3 ± 5.6 units (mean usage via sternotomy, 2.7 ± 4.9 units; <i>P</i> = .8326). There were no conversions to sternotomy in the minimally invasive group. Patients in the minimally invasive group were extubated earlier (24 ± 11 hours; sternotomy group, 40 ± 61 hours; <i>P</i> = .3684) and discharged earlier (7 ± 4 days) than patients who underwent median sternotomy (9 ± 10 days; <i>P</i> = .4027).</p><p><b>Conclusion:</b> MICS-CABG combined with MIVS via bilateral minithoracotomies yielded short-term results comparable to those for CABG and valve repair via median sternotomy. There were no operative mortalities or reoperations. The possible advantages of the minimally invasive approach included earlier extubation and earlier discharge from the hospital. Combined CABG and valve surgery can be safely performed via bilateral thoracotomies.</p>

Right Anterior Mini-Incision Approach to Anomalous Right Coronary Artery Repair

2020 ◽  
Vol 11 (2) ◽  
pp. 215-216 ◽  
Author(s):  
Zoe W. Hinton ◽  
James M. Meza ◽  
Alyssa C. Habermann ◽  
Nicholas D. Andersen ◽  
Mani A. Daneshmand ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Minimally Invasive ◽  
Right Coronary Artery ◽  
Heart Surgery ◽  
Congenital Heart Surgery ◽  
Minimally Invasive Approach ◽  
Invasive Approach ◽  
The Right ◽  
Invasive Techniques ◽  
Mini Incision

The right anterior mini-incision has emerged as an effective minimally invasive approach for adult aortic root and valve operations. However, adoption of minimally invasive techniques has been limited in congenital heart surgery. We report a case of anomalous aortic origin of the right coronary artery repair performed through this approach. Following successful right coronary artery unroofing, the patient had an uncomplicated postoperative hospitalization.

Sign in / Sign up

Export Citation Format

Share Document