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Comparison of port access to sternotomy in tricuspid or mitral/tricuspid operations.

Publication ,  Journal Article
Tripp, HF; Glower, DD; Lowe, JE; Wolfe, WG
Published in: Heart Surg Forum
2002

BACKGROUND: Outcomes for a port-access (PA) approach for tricuspid valve operations have not been reported or compared to those using median sternotomy (MS). METHODS: Retrospective analysis was performed for 88 consecutive patients undergoing tricuspid valve repair or replacement using port-access techniques (n = 27, 1997-2000) versus sternotomy (n = 61, 1990-1997). PA procedures were performed through a 6 cm right fourth interspace thoracotomy. RESULTS: PA patients had lower ejection fractions (46% +/- 11% vs. 54% +/- 10%, p = 0.02), but had a similar incidence of previous surgery (17/27 (63%) vs. 33/61 (54%), p = 0.4). PA patients had more frequent concurrent mitral valve operations (22/27 (82%) vs. 37/61 (61%), p <0.05) and more tricuspid repairs versus replacement (24/27 (89%) vs. 29/61 (48%), p <0.01). PA patients had longer pump times (254 min. +/- 82 vs. 162 min. +/- 61, p = 0.001) but comparable clamp times (65 min. +/- 15 vs. 63 min. +/- 41, p = 0.9), lengths of stay (14 days +/- 14 vs. 16 days +/- 16, p = 0.6), mortality (2/27 (7%) vs. 9/61 (15%), p = 0.3), strokes (3/27 (11%) vs. 4/59 (7%), p = 0.9), and need for new pacemaker implantation (5/27 (19%) vs. 12/61 (20%), p = 0.9). CONCLUSIONS: PA provided excellent short-term results comparable to MS in relatively high-risk tricuspid valve patients. For tricuspid operations, PA may have the advantage of avoiding sternotomy or reoperative sternotomy at the expense of longer pump times.

Duke Scholars

Published In

Heart Surg Forum

ISSN

1098-3511

Publication Date

2002

Volume

5

Issue

2

Start / End Page

136 / 140

Location

United States

Related Subject Headings

  • Tricuspid Valve
  • Treatment Outcome
  • Thoracotomy
  • Sternum
  • Retrospective Studies
  • Mitral Valve
  • Middle Aged
  • Male
  • Logistic Models
  • Humans
 

Citation

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MLA
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Tripp, H. F., Glower, D. D., Lowe, J. E., & Wolfe, W. G. (2002). Comparison of port access to sternotomy in tricuspid or mitral/tricuspid operations. Heart Surg Forum, 5(2), 136–140.
Tripp, Henry F., Donald D. Glower, James E. Lowe, and Walter G. Wolfe. “Comparison of port access to sternotomy in tricuspid or mitral/tricuspid operations.Heart Surg Forum 5, no. 2 (2002): 136–40.
Tripp HF, Glower DD, Lowe JE, Wolfe WG. Comparison of port access to sternotomy in tricuspid or mitral/tricuspid operations. Heart Surg Forum. 2002;5(2):136–40.
Tripp, Henry F., et al. “Comparison of port access to sternotomy in tricuspid or mitral/tricuspid operations.Heart Surg Forum, vol. 5, no. 2, 2002, pp. 136–40.
Tripp HF, Glower DD, Lowe JE, Wolfe WG. Comparison of port access to sternotomy in tricuspid or mitral/tricuspid operations. Heart Surg Forum. 2002;5(2):136–140.

Published In

Heart Surg Forum

ISSN

1098-3511

Publication Date

2002

Volume

5

Issue

2

Start / End Page

136 / 140

Location

United States

Related Subject Headings

  • Tricuspid Valve
  • Treatment Outcome
  • Thoracotomy
  • Sternum
  • Retrospective Studies
  • Mitral Valve
  • Middle Aged
  • Male
  • Logistic Models
  • Humans