Will minimally invasive valve replacement ever really be important?

被引：14
作者：
Caffarelli, AD [1 ]
Robbins, RC [1 ]
机构：
[1] Stanford Univ, Sch Med,Falk Cardiovasc Res Ctr, Dept Cardiothorac Surg, Heart Heart Lung & Lung Transplant Program, Stanford, CA 94305 USA
来源：
CURRENT OPINION IN CARDIOLOGY | 2004年 / 19卷 / 02期
关键词：
minimally invasive; cardiac surgery; valve replacement;
D O I：
10.1097/00001573-200403000-00010
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Purpose of review Most cardiac surgical centers worldwide have instituted some form of minimally invasive surgery into their operative armamentarium. However, skepticism still remains whether minimally invasive valve replacement will ever really be important. This review first addresses the definition of minimally invasive surgery and then analyzes the possible advantages and disadvantages of minimally invasive valvular surgery. Recent findings The nomenclature for minimally invasive surgery is ill defined. Minimally invasive valve replacement is a safe and effective procedure compared with total sternotomy. The advantages of minimally invasive valve replacement are the length of stay and disposition after discharge, postoperative bleeding, cosmesis, and postoperative pain, whereas the main disadvantage involves the operative times early in the learning curve. Summary Minimally invasive valve replacement is beneficial and will continue to evolve as an important treatment option for patients with valvular heart diseases.
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收藏
页码：123 / 127
页数：5
相关论文
共 30 条
[1]  
[Anonymous], 2003, STS NAT DAT SPRING 2
[2]   Does ministernotomy improve postoperative outcome in aortic valve operation? A prospective randomized study [J].
Bonacchi, M ;
Prifti, E ;
Giunti, G ;
Frati, G ;
Sani, G .
ANNALS OF THORACIC SURGERY, 2002, 73 (02) :460-465
[3]   Scientific, ethical, and logistical considerations in introducing a new operation: a retrospective cohort study from paediatric cardiac surgery [J].
Bull, C ;
Yates, R ;
Sarkar, D ;
Deanfield, J ;
de Leval, M .
BMJ-BRITISH MEDICAL JOURNAL, 2000, 320 (7243) :1168-1173
[4]  
Burfeind WR, 2002, ANN THORAC SURG, V74, pS1323
[5]   Chest pain after partial upper versus complete sternotomy for aortic valve surgery [J].
Candaele, S ;
Herijgers, P ;
Demeyere, R ;
Flameng, W ;
Evers, G .
ACTA CARDIOLOGICA, 2003, 58 (01) :17-21
[6]   Endoscopic mitral valve repair: Feasible, reproducible, and durable [J].
Casselman, FP ;
Van Slycke, S ;
Dom, H ;
Lambrechts, DL ;
Vermeulen, Y ;
Vanermen, H .
JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, 2003, 125 (02) :273-282
[7]   Mitral valve surgery can now routinely be performed endoscopically [J].
Casselman, FP ;
Van Slycke, S ;
Wellens, F ;
De Geest, R ;
Degrieck, I ;
Van Praet, F ;
Vermeulen, Y ;
Vanermen, H .
CIRCULATION, 2003, 108 (10) :48-54
[8]  
Chitwood WR, 2003, WHAT IS MINIMALLY IN
[9]   Prospective comparison of minimally invasive and standard techniques for aortic valve replacement: Initial experience in the first hundred patients [J].
Corbi, P ;
Rahmati, M ;
Donal, E ;
Lanquetot, H ;
Jayle, C ;
Menu, P ;
Allal, J .
JOURNAL OF CARDIAC SURGERY, 2003, 18 (02) :133-139
[10]   Minimally invasive valve operations [J].
Cosgrove, DM ;
Sabik, JF ;
Navia, JL .
ANNALS OF THORACIC SURGERY, 1998, 65 (06) :1535-1538
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