Our Experience in Minimal Invasive Cardiac Surgery Using Port Access
Zehra Bayramoğlu1, Barış Çaynak2, Yasemen Durak2, Begüm Özüekren2, Volkan Yazıcıoğlu2, Ertan Sağbaş1, Belhan Akpınar1
2Cardiovascular Surgery,Bilim University,Florence Nightingale Hospital, Istanbul, Turkey
BACKGROUND: Port-access technique is performed through right mini-thoracotomy.This technique has some advantages over sternotomy including cosmesis, earlier patient mobilization, lower infection and transfusion.We described our experience of port-access surgical technique in 9 years.
METHODS: Between 2003 and 2012 240 patients with a mean age of 40.3±13.1 underwent minimal invasive cardiac surgery through right thoracotomy using transthorasic clamp technique.Performed surgical procedures were atrial septal defect repair, mitral valve surgery, tricuspid valve surgery, ablation for lone AF and myxoma.
RESULTS: Mean follow-up time of the patients was 90±23 months.Almost half of the patients underwent mitral valve surgery and 40 patients underwent mitral valve repair.Fifteen patients had ablation with mitral valve surgery and 3 patients had ablation for lone AF.Cardiopulmonary bypass and cross-clamp times averaged 134,7±42,4 and 76,9±33,1 minutes.There was no wound infection and conversion to median sternotomy was %0.8 of all cases.
CONCLUSION: Port-access surgical tehnique is feasible and safe with low conversion rate to conventional median sternotomy
Keywords: Port-access, minimal invasive, mitral, atrial septal defect, tricuspid