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Double venous drainage through the superior vena cava in minimally invasive aortic valve replacement: a retrospective study
AIM: To compare the outcomes of patients who underwent upper mini-sternotomy or right mini-thoracotomy and those who underwent full sternotomy and to report a technical improvement in venous drainage by means of double venous cannulation of the superior vena cava (SVC) in mini surgical procedures. M...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Croatian Medical Schools
2012
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3284179/ https://www.ncbi.nlm.nih.gov/pubmed/22351573 http://dx.doi.org/10.3325/cmj.2012.53.11 |
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author | Klokočovnik, Tomislav Kersnik Levart, Tanja Bunc, Matjaž |
author_facet | Klokočovnik, Tomislav Kersnik Levart, Tanja Bunc, Matjaž |
author_sort | Klokočovnik, Tomislav |
collection | PubMed |
description | AIM: To compare the outcomes of patients who underwent upper mini-sternotomy or right mini-thoracotomy and those who underwent full sternotomy and to report a technical improvement in venous drainage by means of double venous cannulation of the superior vena cava (SVC) in mini surgical procedures. METHODS: We retrospectively analyzed the outcome of 217 patients who underwent aortic valve replacement through upper mini-sternotomy or right mini-thoracotomy at the Department of Cardiovascular Surgery, University Medical Centre Ljubljana, Slovenia from 1996 till 2010. Cannulation of SVC and right atrial appendage was performed in 142/217 (65%) patients, while in the remaining 75 (35%) patients, double cannulation of SVC was used for venous drainage. The results of patients who underwent mini approaches were compared to 236 patients who underwent full sternotomy for the same purpose from 2009 to 2010 at the same center. RESULTS: We found a shorter mean length of intensive care unit stay, less volume chest-tube drainage, shorter crossclamp and cardio pulmonary bypass times, and less postoperative permanent pacemaker implantations in the minimally invasive group patients than in full sternotomy group patients. Using double cannulation of the SVC for venous drainage made venous cannulation in mini approaches easier and eliminated the need for obtaining femoral venous access. CONCLUSION: Our study confirmed that even though technically challenging, upper mini-sternotomy and right mini-thoracotomy approaches for aortic valve replacement have potential advantages over conventional median sternotomy. They were proved to be safe, efficacious, and can significantly reduce surgical trauma and are therefore particularly valuable in some higher risk, obese, diabetic and elderly patients. Using double cannulation of SVC for venous drainage made venous cannulation easier and eliminated the need for obtaining femoral venous access. |
format | Online Article Text |
id | pubmed-3284179 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2012 |
publisher | Croatian Medical Schools |
record_format | MEDLINE/PubMed |
spelling | pubmed-32841792012-02-22 Double venous drainage through the superior vena cava in minimally invasive aortic valve replacement: a retrospective study Klokočovnik, Tomislav Kersnik Levart, Tanja Bunc, Matjaž Croat Med J Heart Disease AIM: To compare the outcomes of patients who underwent upper mini-sternotomy or right mini-thoracotomy and those who underwent full sternotomy and to report a technical improvement in venous drainage by means of double venous cannulation of the superior vena cava (SVC) in mini surgical procedures. METHODS: We retrospectively analyzed the outcome of 217 patients who underwent aortic valve replacement through upper mini-sternotomy or right mini-thoracotomy at the Department of Cardiovascular Surgery, University Medical Centre Ljubljana, Slovenia from 1996 till 2010. Cannulation of SVC and right atrial appendage was performed in 142/217 (65%) patients, while in the remaining 75 (35%) patients, double cannulation of SVC was used for venous drainage. The results of patients who underwent mini approaches were compared to 236 patients who underwent full sternotomy for the same purpose from 2009 to 2010 at the same center. RESULTS: We found a shorter mean length of intensive care unit stay, less volume chest-tube drainage, shorter crossclamp and cardio pulmonary bypass times, and less postoperative permanent pacemaker implantations in the minimally invasive group patients than in full sternotomy group patients. Using double cannulation of the SVC for venous drainage made venous cannulation in mini approaches easier and eliminated the need for obtaining femoral venous access. CONCLUSION: Our study confirmed that even though technically challenging, upper mini-sternotomy and right mini-thoracotomy approaches for aortic valve replacement have potential advantages over conventional median sternotomy. They were proved to be safe, efficacious, and can significantly reduce surgical trauma and are therefore particularly valuable in some higher risk, obese, diabetic and elderly patients. Using double cannulation of SVC for venous drainage made venous cannulation easier and eliminated the need for obtaining femoral venous access. Croatian Medical Schools 2012-02 /pmc/articles/PMC3284179/ /pubmed/22351573 http://dx.doi.org/10.3325/cmj.2012.53.11 Text en Copyright © 2012 by the Croatian Medical Journal. All rights reserved. http://creativecommons.org/licenses/by/2.5/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Heart Disease Klokočovnik, Tomislav Kersnik Levart, Tanja Bunc, Matjaž Double venous drainage through the superior vena cava in minimally invasive aortic valve replacement: a retrospective study |
title | Double venous drainage through the superior vena cava in minimally invasive aortic valve replacement: a retrospective study |
title_full | Double venous drainage through the superior vena cava in minimally invasive aortic valve replacement: a retrospective study |
title_fullStr | Double venous drainage through the superior vena cava in minimally invasive aortic valve replacement: a retrospective study |
title_full_unstemmed | Double venous drainage through the superior vena cava in minimally invasive aortic valve replacement: a retrospective study |
title_short | Double venous drainage through the superior vena cava in minimally invasive aortic valve replacement: a retrospective study |
title_sort | double venous drainage through the superior vena cava in minimally invasive aortic valve replacement: a retrospective study |
topic | Heart Disease |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3284179/ https://www.ncbi.nlm.nih.gov/pubmed/22351573 http://dx.doi.org/10.3325/cmj.2012.53.11 |
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