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Mitral surgery after prior cardiac operation: port-access versus sternotomy or thoracotomy.

Publication ,  Journal Article
Burfeind, WR; Glower, DD; Davis, RD; Landolfo, KP; Lowe, JE; Wolfe, WG
Published in: Ann Thorac Surg
October 2002

BACKGROUND: In reoperation for mitral valve disease, minimally invasive Port-Access (PORT) is a new alternative to standard median sternotomy (STER) or right thoracotomy (THOR); yet, the results of PORT in this setting have not been defined. The aim of this study was to evaluate the results of minimally invasive thoracotomy in reoperation for mitral valve disease. METHODS: Retrospective results are reported for three consecutive series of patients undergoing reoperation for mitral disease using either PORT (n = 60, 1996 to 2001), THOR (n = 37, 1985 to 1997), or STER (n = 155, 1985 to 1997). RESULTS: Red cell transfusion was 3 +/- 4, 14 +/- 13, and 12 +/- 12 units for PORT, THOR, and STER, respectively. Chest tube output was 352 +/- 361, 2048 +/- 3166, and 1683 +/- 3939 mL, respectively. Cardiopulmonary bypass times for these groups were 208 +/- 76 vs. 158 +/- 56 vs. 157 +/- 53 minutes. Thirty-day mortality was 0/60 (0%), 8/37 (22%), and 21/155 (14%), respectively. CONCLUSIONS: This early clinical experience suggests that PORT is an acceptable alternative to THOR or STERN in reoperation for mitral valve disease, with potential advantages of avoiding redo sternotomy and reducing the surgical incision. However, these benefits may come at the expense of longer cardiopulmonary bypass times.

Duke Scholars

Published In

Ann Thorac Surg

DOI

ISSN

0003-4975

Publication Date

October 2002

Volume

74

Issue

4

Start / End Page

S1323 / S1325

Location

Netherlands

Related Subject Headings

  • Time Factors
  • Thoracotomy
  • Thoracoscopy
  • Sternum
  • Retrospective Studies
  • Respiratory System
  • Reoperation
  • Mitral Valve
  • Middle Aged
  • Male
 

Citation

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Chicago
ICMJE
MLA
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Burfeind, W. R., Glower, D. D., Davis, R. D., Landolfo, K. P., Lowe, J. E., & Wolfe, W. G. (2002). Mitral surgery after prior cardiac operation: port-access versus sternotomy or thoracotomy. Ann Thorac Surg, 74(4), S1323–S1325. https://doi.org/10.1016/s0003-4975(02)03909-7
Burfeind, William R., Donald D. Glower, R Duane Davis, Kevin P. Landolfo, James E. Lowe, and Walter G. Wolfe. “Mitral surgery after prior cardiac operation: port-access versus sternotomy or thoracotomy.Ann Thorac Surg 74, no. 4 (October 2002): S1323–25. https://doi.org/10.1016/s0003-4975(02)03909-7.
Burfeind WR, Glower DD, Davis RD, Landolfo KP, Lowe JE, Wolfe WG. Mitral surgery after prior cardiac operation: port-access versus sternotomy or thoracotomy. Ann Thorac Surg. 2002 Oct;74(4):S1323–5.
Burfeind, William R., et al. “Mitral surgery after prior cardiac operation: port-access versus sternotomy or thoracotomy.Ann Thorac Surg, vol. 74, no. 4, Oct. 2002, pp. S1323–25. Pubmed, doi:10.1016/s0003-4975(02)03909-7.
Burfeind WR, Glower DD, Davis RD, Landolfo KP, Lowe JE, Wolfe WG. Mitral surgery after prior cardiac operation: port-access versus sternotomy or thoracotomy. Ann Thorac Surg. 2002 Oct;74(4):S1323–S1325.
Journal cover image

Published In

Ann Thorac Surg

DOI

ISSN

0003-4975

Publication Date

October 2002

Volume

74

Issue

4

Start / End Page

S1323 / S1325

Location

Netherlands

Related Subject Headings

  • Time Factors
  • Thoracotomy
  • Thoracoscopy
  • Sternum
  • Retrospective Studies
  • Respiratory System
  • Reoperation
  • Mitral Valve
  • Middle Aged
  • Male