Aim of the study is evaluate the clinical outcome,in a single center experience,of endo-aortic or transthoracic clamp strategy,in minimally invasive video-assisted mitral valve surgery (MIMVS). Materials and methods: We retrospectively analyzed 55 patients underwent to MIMVS between 2014 and 2018. We used in 33 patients endo-aortic balloon occlusion technique(EAC) with Intraclude© and in 22 transthoracic clamp technique(TTC) with Cygnet©. Results: Surgical operations were in 23 patients mitral repair and in 32 mitral replacement.There were no differences between groups for CPB-time(137 ± 37 EAC vs 141 ± 39 TTC, p-value = 0,866) and clamping-time(87 ± 31 vs 90 ± 21,p-value = 0,329);incidence of peri-operative acute myocardial infarction was null,even if the post-operative CPK-MB are out of normal range.The 24h-blood loss was higher in EAC-group(817 ± 506 vs …
Minimally Invasive Video-assisted Mitral Valve Surgery: The Impact Of Aortic Clamping Technique / Mozzillo, R.A.1., De Bellis, A.1., Greco, E., Baldascino, F.1., Spadafora, A.1., Fimiani, L.1., Cioffi, M.1., Affatato, A.1., Grimaldi, M.G.3., Caruso, A.3.. - In: JOURNAL OF CARDIOVASCULAR MEDICINE. - ISSN 1558-2035. - 19:(2018), pp. 54-55. [10.2459/01.JCM.0000550014.34614.4a]
Minimally Invasive Video-assisted Mitral Valve Surgery: The Impact Of Aortic Clamping Technique
Greco, Ernesto;
2018
Abstract
Aim of the study is evaluate the clinical outcome,in a single center experience,of endo-aortic or transthoracic clamp strategy,in minimally invasive video-assisted mitral valve surgery (MIMVS). Materials and methods: We retrospectively analyzed 55 patients underwent to MIMVS between 2014 and 2018. We used in 33 patients endo-aortic balloon occlusion technique(EAC) with Intraclude© and in 22 transthoracic clamp technique(TTC) with Cygnet©. Results: Surgical operations were in 23 patients mitral repair and in 32 mitral replacement.There were no differences between groups for CPB-time(137 ± 37 EAC vs 141 ± 39 TTC, p-value = 0,866) and clamping-time(87 ± 31 vs 90 ± 21,p-value = 0,329);incidence of peri-operative acute myocardial infarction was null,even if the post-operative CPK-MB are out of normal range.The 24h-blood loss was higher in EAC-group(817 ± 506 vs …I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
