Minimally invasive valve surgery including patients of combined simultaneous surgery: a retrospective study
Abstract Objective This study investigated the perioperative safety and advantages of performing a minimally invasive valve surgery (MIVS) and conducting a preliminary examination of the combined simultaneous surgery (CSS). Methods A total of 29 patients (16 men and 13 women; mean age, 58.41 ± 13.08...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-09-01
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| Series: | Journal of Cardiothoracic Surgery |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13019-023-02361-8 |
| _version_ | 1797451554652946432 |
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| author | Yun Ling Huaxin Chen Pengxiong Zhu Tian Li Bangde Xue Jun Liu |
| author_facet | Yun Ling Huaxin Chen Pengxiong Zhu Tian Li Bangde Xue Jun Liu |
| author_sort | Yun Ling |
| collection | DOAJ |
| description | Abstract Objective This study investigated the perioperative safety and advantages of performing a minimally invasive valve surgery (MIVS) and conducting a preliminary examination of the combined simultaneous surgery (CSS). Methods A total of 29 patients (16 men and 13 women; mean age, 58.41 ± 13.08 years) who underwent MIVS at our center from July 2021 to March 2022 were selected. Among them, 16 patients underwent aortic valve surgery (AVS), 13 patients underwent mitral valve surgery (MVS), and four patients additionally underwent CSS. Results The MIVS time ranged from 165 to 420 min, with a mean of 230.54 ± 54.61 min; the cardiopulmonary bypass (CPB) time ranged from 54 to 164 min, with a mean of 120.24 ± 25.98 min; the aortic cross-clamp (ACC) time ranged from 36 to 118 min, with a mean of 78.66 ± 21.01 min and an automatic heart resuscitating rate was 89.66%; the mean tracheal intubation time was 6.30 ± 3.87 h, and the median total postoperative drainage was 317.5 (35, 1470) ml. No difference was observed between preoperative and postoperative left ventricular ejection fraction (LVEF) (61.90% ± 6.28% vs. 60.21% ± 5.52%, P = 0.281). The difference in postoperative drainage (419.20 ml ± 377.20 ml vs. 588.75 ml ± 673.63 ml, P = .461), tracheal intubation time (6.66 h ± 4.27 h vs. 4.63 h ± 1.11 h, P = .359), intensive care unit (ICU) stay (3.96 ± 8.62 days vs. 2.00 ± 0.816 days, P = .658), and postoperative hospital stay (9.96 ± 8.45 days vs. 8.25 ± 1.26 days, P = .694) between MIVS and CSS was not significant. Conclusion MIVS in our center may be safe and effective. Additionally, CSS may be a feasible option that could be performed after a thorough preoperative evaluation and multidisciplinary discussion. |
| first_indexed | 2024-03-09T14:55:25Z |
| format | Article |
| id | doaj.art-94eb47600b1643a689d8459e66bd014e |
| institution | Directory Open Access Journal |
| issn | 1749-8090 |
| language | English |
| last_indexed | 2024-03-09T14:55:25Z |
| publishDate | 2023-09-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Cardiothoracic Surgery |
| spelling | doaj.art-94eb47600b1643a689d8459e66bd014e2023-11-26T14:12:19ZengBMCJournal of Cardiothoracic Surgery1749-80902023-09-011811710.1186/s13019-023-02361-8Minimally invasive valve surgery including patients of combined simultaneous surgery: a retrospective studyYun Ling0Huaxin Chen1Pengxiong Zhu2Tian Li3Bangde Xue4Jun Liu5Department of Cardiovascular Surgery, Shanghai East Hospital affiliated to Tongji University School of MedicineDepartment of Anesthesiology, Hainan Hospital of Chinese PLA General HospitalDepartment of Cardiovascular Surgery, Shanghai East Hospital affiliated to Tongji University School of MedicineSchool of Basic Medicine, Fourth Military Medical UniversityDepartment of Cardiovascular Surgery, Shanghai East Hospital affiliated to Tongji University School of MedicineDepartment of Cardiovascular Surgery, Shanghai East Hospital affiliated to Tongji University School of MedicineAbstract Objective This study investigated the perioperative safety and advantages of performing a minimally invasive valve surgery (MIVS) and conducting a preliminary examination of the combined simultaneous surgery (CSS). Methods A total of 29 patients (16 men and 13 women; mean age, 58.41 ± 13.08 years) who underwent MIVS at our center from July 2021 to March 2022 were selected. Among them, 16 patients underwent aortic valve surgery (AVS), 13 patients underwent mitral valve surgery (MVS), and four patients additionally underwent CSS. Results The MIVS time ranged from 165 to 420 min, with a mean of 230.54 ± 54.61 min; the cardiopulmonary bypass (CPB) time ranged from 54 to 164 min, with a mean of 120.24 ± 25.98 min; the aortic cross-clamp (ACC) time ranged from 36 to 118 min, with a mean of 78.66 ± 21.01 min and an automatic heart resuscitating rate was 89.66%; the mean tracheal intubation time was 6.30 ± 3.87 h, and the median total postoperative drainage was 317.5 (35, 1470) ml. No difference was observed between preoperative and postoperative left ventricular ejection fraction (LVEF) (61.90% ± 6.28% vs. 60.21% ± 5.52%, P = 0.281). The difference in postoperative drainage (419.20 ml ± 377.20 ml vs. 588.75 ml ± 673.63 ml, P = .461), tracheal intubation time (6.66 h ± 4.27 h vs. 4.63 h ± 1.11 h, P = .359), intensive care unit (ICU) stay (3.96 ± 8.62 days vs. 2.00 ± 0.816 days, P = .658), and postoperative hospital stay (9.96 ± 8.45 days vs. 8.25 ± 1.26 days, P = .694) between MIVS and CSS was not significant. Conclusion MIVS in our center may be safe and effective. Additionally, CSS may be a feasible option that could be performed after a thorough preoperative evaluation and multidisciplinary discussion.https://doi.org/10.1186/s13019-023-02361-8Heart valve diseasesMinimally invasive surgical proceduresCardiac surgical procedures |
| spellingShingle | Yun Ling Huaxin Chen Pengxiong Zhu Tian Li Bangde Xue Jun Liu Minimally invasive valve surgery including patients of combined simultaneous surgery: a retrospective study Journal of Cardiothoracic Surgery Heart valve diseases Minimally invasive surgical procedures Cardiac surgical procedures |
| title | Minimally invasive valve surgery including patients of combined simultaneous surgery: a retrospective study |
| title_full | Minimally invasive valve surgery including patients of combined simultaneous surgery: a retrospective study |
| title_fullStr | Minimally invasive valve surgery including patients of combined simultaneous surgery: a retrospective study |
| title_full_unstemmed | Minimally invasive valve surgery including patients of combined simultaneous surgery: a retrospective study |
| title_short | Minimally invasive valve surgery including patients of combined simultaneous surgery: a retrospective study |
| title_sort | minimally invasive valve surgery including patients of combined simultaneous surgery a retrospective study |
| topic | Heart valve diseases Minimally invasive surgical procedures Cardiac surgical procedures |
| url | https://doi.org/10.1186/s13019-023-02361-8 |
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