HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): Naresh Trehan Yugal K Mishra Satish G Mathew Yatin Mehta Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Trehan, N. Articles by Mehta, Y. Search for Related Content PubMed PubMed Citation Articles by Trehan, N. Articles by Mehta, Y. Related Collections Minimally invasive surgery

Redo Mitral Valve Surgery Using the Port-Access System

Department of Cardiovascular Surgery 1 Department of Anaesthesiology 2 Department of Cardiology Escorts Heart Institute and Research Centre New Delhi, India
For reprint information contact: Yugal K Mishra, PhD Tel: 91 11 682 5000 Fax: 91 11 682 5013 email: dryugal{at}mantramail.com Department of Cardiovascular Surgery, Escorts Heart Institute and Research Centre, Okhla Road, New Delhi 110025, India.

Redo mitral valve surgery is hazardous, hence we explored an alternative approach using a port-access system that avoids reentry. Between October 1997 and December 2000, 32 patients underwent mitral reoperation using the system. All patients had previous cardiac operations. This procedure consisted of a right anterolateral minithoracotomy and femorofemoral cannulation using special port-access instruments and endoaortic clamping in 24 patients or direct transthoracic sliding-rod aortic clamping in 8. The valve disease was of rheumatic etiology in 28 patients and degenerative in 4. The valve was replaced in 31 cases and a paravalvular leak after mitral valve replacement was closed in 1. In 2 cases, the tricuspid valve was repaired along with mitral valve replacement. Mean total operating time was 4.5 ± 1.2 hours, cardiopulmonary bypass time 162 ± 72 minutes, and aortic crossclamp time 62 ± 21 minutes. There was no mortality, and mean stay in the intensive care unit was 22 ± 7 hours and hospital stay 6.4 ± 1.2 days. Postoperative blood transfusion was required in 12 patients. In view of the favorable results, we recommend using the port-access system as a standard approach for mitral reoperation.

This article has been cited by other articles:

				J. P. Greelish, R. M. Ahmad, J. M. Balaguer, M. R. Petracek, and J. G. Byrne Reoperative Valve Surgery Card. Surg. Adult, January 1, 2008; 3(2008): 1159 - 1174. [Full Text]

				M L Field, B Al-Alao, N Mediratta, and A Sosnowski Open and closed chest extrathoracic cannulation for cardiopulmonary bypass and extracorporeal life support: methods, indications, and outcomes. Postgrad. Med. J., May 1, 2006; 82(967): 323 - 331. [Abstract] [Full Text] [PDF]