On-pump Beating Heart Versus Arrested Heart Mitral Valve Replacement - Efficacy and Safety

2018 ◽  
Vol 4 (4) ◽  
pp. 281-286
Author(s):  
Devenraj Vijayant ◽  
◽  
Tewarson Vivek ◽  
Kumar Sarvesh ◽  
Misra Shradha ◽  
...  
Keyword(s):  
Mitral Valve ◽  
Valve Replacement ◽  
Mitral Valve Replacement ◽  
Beating Heart ◽  
Efficacy And Safety

Mitral valve replacement on a beating heart

2004 ◽  
Vol 20 (1) ◽  
pp. 30-30
Author(s):  
HS Bedi ◽  
RP Singh ◽  
V Goel ◽  
P Lal
Keyword(s):  
Mitral Valve ◽  
Valve Replacement ◽  
Mitral Valve Replacement ◽  
Beating Heart

Mitral Valve Replacement with the Beating Heart Technique in a Patient with Previous Bypass Graft from Ascending to Descending Aorta due to Aortic Coarctation

2008 ◽  
Vol 23 (2) ◽  
pp. 156-158 ◽  
Author(s):  
Ferit Cicekcioglu ◽  
A. Ihsan Parlar ◽  
Aysen Aksoyek ◽  
Seyhan Babaroglu ◽  
Kerem Yay ◽  
...  
Keyword(s):  
Mitral Valve ◽  
Valve Replacement ◽  
Mitral Valve Replacement ◽  
Aortic Coarctation ◽  
Bypass Graft ◽  
Beating Heart ◽  
Descending Aorta

Beating heart mitral valve replacement in a patient with a previous Bentall operation

2008 ◽  
Vol 56 (5) ◽  
pp. 226-228 ◽  
Author(s):  
Ferit Cicekcioglu ◽  
Ali Ihsan Parlar ◽  
Levent Altinay ◽  
Alaa Hijazi ◽  
Ahmet Kuddusi Irdem ◽  
...  
Keyword(s):  
Mitral Valve ◽  
Valve Replacement ◽  
Mitral Valve Replacement ◽  
Beating Heart ◽  
Bentall Operation

Mitral Valve Replacements Under On-Pump Beating Heart and Lung Perfusion/Ventilation Using a Minithoracotomy: An Experience with 11 Cases

2012 ◽  
Vol 15 (3) ◽  
pp. 133
Author(s):  
Ansheng Mo ◽  
Zhaoke Wen ◽  
Hui Lin ◽  
Changchao Lu ◽  
Shengjin Liang
Keyword(s):  
Mitral Valve ◽  
Minimally Invasive ◽  
Valve Replacement ◽  
Mitral Valve Replacement ◽  
Vena Cava ◽  
Ascending Aorta ◽  
Beating Heart ◽  
Arterial Cannulation ◽  
The Mean ◽  
The Impact

<p><b>Background:</b> The primary aims of minimally-invasive cardiac valve surgery are to lessen the impact of the incision, extracorporeal circulation, myocardial ischemia, and pulmonary ischemia, to obtain satisfactory therapeutic results, and to allow a quicker rehabilitation. In this study, the feasibility of minimally-invasive mitral valve replacements without ascending aorta and vena cava cross-clamping under beating heart was evaluated by surveying 11 patients.</p><p><b>Methods:</b> Preoperative risk factors, intraoperative techniques, and postoperative complications were surveyed and evaluated for one year (April 1, 2009 to March 30, 2010) in 11 patients who had undergone beating-heart mitral valve replacement surgery at The People's Hospital of Guangxi Zhuang Autonomous Region. Minithoracotomy and femoral arterial cannulation procedures were used in the surgeries for cardiopulmonary bypass (CPB) without ascending aorta and vena cava cross-clamping.</p><p><b>Results:</b> The operations were performed successfully in all 11 patients. The CPB time was 52.80 � 11.36 minutes; the mean postoperative mechanical ventilation assistance time was 8.20 � 2.84 hours; and the mean transfusion volume of red cells was 2.20 � 1.04 units. There were no cerebral complications, no periprosthetic leakage, no occurrence of permanent high-degree atrioventricular blockage, and no mortality.</p><p><b>Conclusion:</b> Mitral valve replacement on the beating heart using a minithoracotomy and femoral arterial cannulation for CPB without ascending aorta and vena cava crossclamping under pulmonary ventilation is feasible. A larger number of patients are required to further characterize the efficacy and safety of this procedure.</p>

Mitral Valve Replacement with Beating Heart Technique via Right Thoracotomy in a Patient with Previous Bentall Operation

2010 ◽  
Vol 58 (04) ◽  
pp. 246-248
Author(s):  
A. Parlar ◽  
F. Cicekcioglu ◽  
A. Irdem ◽  
A. Hijazi ◽  
L. Altinay ◽  
...  
Keyword(s):  
Mitral Valve ◽  
Valve Replacement ◽  
Mitral Valve Replacement ◽  
Beating Heart ◽  
Bentall Operation ◽  
Right Thoracotomy

scholarly journals Beating-heart versus conventional mitral valve replacement; a randomized clinical trial

2020 ◽  
Author(s):  
Abd-Allah Badr ◽  
Essam Yousef ◽  
Mostafa Kotb ◽  
Ahmed Deebis
Keyword(s):  
Mitral Valve ◽  
Valve Replacement ◽  
Mitral Valve Replacement ◽  
Troponin I ◽  
Conventional Technique ◽  
Beating Heart ◽  
Control Group ◽  
Coronary Perfusion ◽  
Significant Difference ◽  
Heart Group

Background: Various methods have been developed to overcome the deleterious effects of ischemia/ reperfusion injury that occurs after cardioplegic arrest. The aim of the study was to assess the safety, efficacy, and applicability of the beating-heart mitral valve replacement (MVR) compared to the conventional MVR. Methods: Forty patients scheduled for mitral valve replacement were randomly assigned into two groups, conventional MVR as the control group (n= 20) and beating-heart MVR with continuous antegrade coronary perfusion as the study group (n=20). Three patients in the beating-heart group were converted to the conventional technique because of the blood-flooded field and excluded from the analysis. Results: The preoperative clinical and echocardiographic variables were comparable between both groups. There was no significant difference between both groups regarding cardiopulmonary bypass time (79.4± 14 vs. 75.7± 10.9 minutes; p= 0.398) and total operative time (200± 55.6 vs. 183.9± 67.5 min; p= 0.458) in the conventional and beating-heart group, respectively. Serum troponin I level was significantly higher in the conventional MVR group 6 hours postoperatively (4.9±4 vs. 2.7±1.2 ng/ml; p= 0.036), while there was no significant difference between both groups regarding total CK and CK-MB (p= 0.565 & 0.597 respectively).  Eight patients (44%) in the conventional MVR group needed inotropic support compared to 3 patients (19%) in the beating-heart MVR group (P = 0.11). There was no operative mortality or major morbidity in both groups. At 6-months follow-up, there was no difference in NYHA class (1.3±0.3 vs. 1.2±0.3; p= 0.336) and the ejection fraction (60.0±6.3 vs. 63.2±6 %; p= 0.139) in the conventional vs. beating-heart group.  Conclusion: Beating-heart MVR is a safe alternative to the conventional method with comparable outcomes. There is a relatively blood-filled field compared to the conventional technique.

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