Bentall through a right mini-thoracotomy: A single-center experience

Objective: The minimally invasive right thoracotomy approach is being increasingly used for aortic valve surgeries. It has several benefits in terms of decreased blood loss and length of hospital stay as compared to conventional sternotomy technique. Selected patients requiring aortic root and ascen...

Full description

Bibliographic Details
Main Authors: Pratik Manek, Mausam Shah, Ashish Madkaiker, Manish Jawarkar, Vivek Wadhawa, Chirag Doshi
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2023-01-01
Series:Heart India
Subjects:
Online Access:http://www.heartindia.net/article.asp?issn=2321-449X;year=2023;volume=11;issue=1;spage=34;epage=39;aulast=Manek
_version_ 1797824370527174656
author Pratik Manek
Mausam Shah
Ashish Madkaiker
Manish Jawarkar
Vivek Wadhawa
Chirag Doshi
author_facet Pratik Manek
Mausam Shah
Ashish Madkaiker
Manish Jawarkar
Vivek Wadhawa
Chirag Doshi
author_sort Pratik Manek
collection DOAJ
description Objective: The minimally invasive right thoracotomy approach is being increasingly used for aortic valve surgeries. It has several benefits in terms of decreased blood loss and length of hospital stay as compared to conventional sternotomy technique. Selected patients requiring aortic root and ascending aorta surgery can be operated on using a similar approach. In this case series, we share the outcomes of Bentall surgery done through right mini-thoracotomy. Methods: This was a single-center retrospective study of five patients who underwent elective right mini-thoracotomy modified Bentall Procedure. Instruments routinely used in minimally invasive cardiac surgery were used. The outcomes that were evaluated include cross-clamp times, cardiopulmonary bypass (CPB) times, time to extubation, total length of intensive care unit (ICU) and hospital stay, re-exploration rates, and inhospital and 30-day mortality. Results: The mean CPB times and cross-clamp times were 128 and 96 min, respectively. The total circulatory arrest was used in two patients with a mean time of 12 min. The mean time to extubation was 7 h. The mean ICU stay and the total length of hospital stay were 1.5 and 5 days, respectively. No patient required re-exploration for bleeding. We did not have any inhospital or 30-day mortality. Conclusion: The right mini-thoracotomy modified Bentall procedure is reproducible and safe in selected patients with annuloaortic ectasia.
first_indexed 2024-03-13T10:37:59Z
format Article
id doaj.art-5877e4e9cfd5403789053fd2596ec245
institution Directory Open Access Journal
issn 2321-449X
language English
last_indexed 2024-03-13T10:37:59Z
publishDate 2023-01-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series Heart India
spelling doaj.art-5877e4e9cfd5403789053fd2596ec2452023-05-18T05:18:43ZengWolters Kluwer Medknow PublicationsHeart India2321-449X2023-01-01111343910.4103/heartindia.heartindia_6_23Bentall through a right mini-thoracotomy: A single-center experiencePratik ManekMausam ShahAshish MadkaikerManish JawarkarVivek WadhawaChirag DoshiObjective: The minimally invasive right thoracotomy approach is being increasingly used for aortic valve surgeries. It has several benefits in terms of decreased blood loss and length of hospital stay as compared to conventional sternotomy technique. Selected patients requiring aortic root and ascending aorta surgery can be operated on using a similar approach. In this case series, we share the outcomes of Bentall surgery done through right mini-thoracotomy. Methods: This was a single-center retrospective study of five patients who underwent elective right mini-thoracotomy modified Bentall Procedure. Instruments routinely used in minimally invasive cardiac surgery were used. The outcomes that were evaluated include cross-clamp times, cardiopulmonary bypass (CPB) times, time to extubation, total length of intensive care unit (ICU) and hospital stay, re-exploration rates, and inhospital and 30-day mortality. Results: The mean CPB times and cross-clamp times were 128 and 96 min, respectively. The total circulatory arrest was used in two patients with a mean time of 12 min. The mean time to extubation was 7 h. The mean ICU stay and the total length of hospital stay were 1.5 and 5 days, respectively. No patient required re-exploration for bleeding. We did not have any inhospital or 30-day mortality. Conclusion: The right mini-thoracotomy modified Bentall procedure is reproducible and safe in selected patients with annuloaortic ectasia.http://www.heartindia.net/article.asp?issn=2321-449X;year=2023;volume=11;issue=1;spage=34;epage=39;aulast=Manekbentall procedureminimally invasive cardiac surgeryright mini-thoracotomy
spellingShingle Pratik Manek
Mausam Shah
Ashish Madkaiker
Manish Jawarkar
Vivek Wadhawa
Chirag Doshi
Bentall through a right mini-thoracotomy: A single-center experience
Heart India
bentall procedure
minimally invasive cardiac surgery
right mini-thoracotomy
title Bentall through a right mini-thoracotomy: A single-center experience
title_full Bentall through a right mini-thoracotomy: A single-center experience
title_fullStr Bentall through a right mini-thoracotomy: A single-center experience
title_full_unstemmed Bentall through a right mini-thoracotomy: A single-center experience
title_short Bentall through a right mini-thoracotomy: A single-center experience
title_sort bentall through a right mini thoracotomy a single center experience
topic bentall procedure
minimally invasive cardiac surgery
right mini-thoracotomy
url http://www.heartindia.net/article.asp?issn=2321-449X;year=2023;volume=11;issue=1;spage=34;epage=39;aulast=Manek
work_keys_str_mv AT pratikmanek bentallthrougharightminithoracotomyasinglecenterexperience
AT mausamshah bentallthrougharightminithoracotomyasinglecenterexperience
AT ashishmadkaiker bentallthrougharightminithoracotomyasinglecenterexperience
AT manishjawarkar bentallthrougharightminithoracotomyasinglecenterexperience
AT vivekwadhawa bentallthrougharightminithoracotomyasinglecenterexperience
AT chiragdoshi bentallthrougharightminithoracotomyasinglecenterexperience