1,720,993 research outputs found
Totally Endoscopic Valve-in-Valve Procedure: Implantation of Perceval Prosthesis in Trifecta Ring
No full textEvaluation of patient-centered and clinical outcomes after minimally invasive cardiac surgery: an observational cohort study
No full textEvaluation of patient-centered and clinical outcomes after minimally invasive cardiac surgery: an observational cohort study
No full textEvaluation of patient-centered and clinical outcomes after minimally invasive cardiac surgery: an observational cohort study
No full textThoracoscopic management of iatrogenic cardiac perforations
No full textAims Iatrogenic cardiac perforation is an uncommon but potentially fatal complication of invasive cardiac procedures. When nonsurgical management fails, urgent cardiac surgery is required. The standard surgical approach is usually through full sternotomy. However, we propose a less invasive and equally effective technique with video-assisted thoracoscopic surgery (VATS). Methods This single-center retrospective study in a tertiary hospital identified all patients requiring surgical intervention due to iatrogenic cardiac perforation over a period of 5 years. Patients were grouped by surgical approach, being either sternotomy or VATS. Primary endpoints were operating time, length of ICU stay, hospital stay, 30-day mortality, and all-round mortality. Results Twenty-five patients were identified: 11 in the sternotomy group and 14 in the VATS-group. Preoperative baseline characteristics were equal. Significant difference was found for 30-day mortality (p < .05). There was no difference for the other endpoints. Conclusions VATS is a promising alternative to standard sternotomy for iatrogenic cardiac perforations after invasive cardiac procedures
Duration of hospitalization for minimally invasive CABG versus CABG through sternotomy; a stepwise linear regression analysis.
No full textDuration of hospitalization for minimally invasive CABG versus CABG through sternotomy; a stepwise linear regression analysis.
No full textRecovery in cardiopulmonary and oxidative muscular function during exercise after minimally invasive aortic valve replacement
No full textBackground:
Aortic valve stenosis (AS) is one of the greatest burdens in elderly people. The only effective treatment is aortic valve replacement by surgery. However, it remains unidentified how the recovery in cardiopulmonary and muscular function after minimally invasive aortic valve replacement (mini-AVR) is manifested.
Methods:
This was a combination of a cross-sectional and prospective observational study. 14 AS patients were followed for up to 3 weeks after mini-AVR surgery and examined were submaximal cardiopulmonary exercise test at 25% of maximum workload, echocardiography and cardiovascular disease risk were assessed.
Results:
During exercise, significantly elevated EqO2 and EqCO2 were observed (p = 0,002 vs. p = 0,008) compared to healthy controls before mini-AVR surgery. At 5 days, both EqO2 and EqCO2 during exercise were significantly elevated (p = 0,007 vs. p =0,008). Exercise MRT was significantly slower at five days (p = 0,036) versus exercise MRT measured prior to surgery. At 3 weeks, EqCO2 during exercise was significantly lower (p = 0,021) and normalized. Accelerated exercise MRT was observed at 3 weeks. Furthermore, cross-clamp time was independently related to exercise MRT at three weeks after mini-AVR surgery (p = 0,001).
Conclusion
Systematic significant deterioration in exercise performance was observed after mini-AVR, which is probably related to ventilation perfusion mismatch. Need for improved early post-operative treatment is of great importance
Recovery in cardiopulmonary and oxidative muscular function during exercise after minimally invasive aortic valve replacement
No full textBackground:
Aortic valve stenosis (AS) is one of the greatest burdens in elderly people. The only effective treatment is aortic valve replacement by surgery. However, it remains unidentified how the recovery in cardiopulmonary and muscular function after minimally invasive aortic valve replacement (mini-AVR) is manifested.
Methods:
This was a combination of a cross-sectional and prospective observational study. 14 AS patients were followed for up to 3 weeks after mini-AVR surgery and examined were submaximal cardiopulmonary exercise test at 25% of maximum workload, echocardiography and cardiovascular disease risk were assessed.
Results:
During exercise, significantly elevated EqO2 and EqCO2 were observed (p = 0,002 vs. p = 0,008) compared to healthy controls before mini-AVR surgery. At 5 days, both EqO2 and EqCO2 during exercise were significantly elevated (p = 0,007 vs. p =0,008). Exercise MRT was significantly slower at five days (p = 0,036) versus exercise MRT measured prior to surgery. At 3 weeks, EqCO2 during exercise was significantly lower (p = 0,021) and normalized. Accelerated exercise MRT was observed at 3 weeks. Furthermore, cross-clamp time was independently related to exercise MRT at three weeks after mini-AVR surgery (p = 0,001).
Conclusion
Systematic significant deterioration in exercise performance was observed after mini-AVR, which is probably related to ventilation perfusion mismatch. Need for improved early post-operative treatment is of great importance
Quality of life in patients undergoing minimally invasive cardiac surgery: a systematic review
No full textOBJECTIVE: Minimally invasive procedures have been developed to reduce surgical trauma after cardiac surgery. Clinical recovery is the main focus of most research. Still, patient-centred outcomes, such as the quality of life, can provide a more comprehensive understanding of the impact of the surgery on the patient's life. This systematic review aims to deliver a detailed summary of all available research investigating the quality of recovery, assessed with quality of life instruments, in adults undergoing minimally invasive cardiac surgery. METHODS: All randomised trials, cohort studies, and cross-sectional studies assessing the quality of recovery in patients undergoing minimally invasive cardiac surgery compared to conventional cardiac surgery within the last 20 years were included, and a summary was prepared. RESULTS: The randomised trial observed an overall improved quality of life after both minimally invasive and conventional surgery. The quality of life improvement in the minimally invasive group showed a faster course and evolved to a higher level than the conventional surgery group. These findings align with the results of prospective cohort studies. In the cross-sectional studies, no significant difference in the quality of life was seen except for one that observed a significantly higher quality of life in the minimally invasive group. CONCLUSIONS: This systematic review indicates that patients may benefit from minimally invasive and conventional cardiac surgery, but patients undergoing minimally invasive cardiac surgery may recover sooner and to a greater extent. However, no firm conclusion could be drawn due to the limited available studies. Therefore, randomised controlled trials are needed.status: Publishe
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