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A comparison between stand-alone left atrial appendage occlusion and resection as a method of preventing cardiogenic thromboembolic stroke
ConclusionThere were no significant differences between LAAO and LAAR in terms of the feasibility and the effectiveness as a method for stroke prophylaxis only to selected patients for both procedures, although further studies including the comparison between groups with the same backgrounds to confirm the authentic differences in the clinical results between these procedures.
Source: General Thoracic and Cardiovascular Surgery - July 19, 2023 Category: Cardiovascular & Thoracic Surgery Source Type: research

Less-Invasive Aortic Valve Replacement: Trends and Outcomes from the STS Database.
CONCLUSIONS: LI-AVR is associated with a similar operative mortality and postoperative stroke rate compared to FS. LI-AVRS should be served as a benchmark for comparison between TAVR and sAVR in low risk patients. PMID: 32835750 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - August 20, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Ghoreishi M, Thourani VH, Badhwar V, Massad M, Svensson L, Taylor BS, Pasrija C, Gammie JS, Jacobs JP, Cox M, Grau-Sepulveda M, Brennan M, Griffith BP, Milliken JC, Abdelhady K, Kon Z Tags: Ann Thorac Surg Source Type: research

017 * aortic valve replacement through an anterior right mini-thoracotomy with central aortic cannulation is safe
Conclusion: MIAVR via an anterior right mini-thoracotomy with central cannulation results in similar perioperative mortality and stroke rates as compared to standard sternotomy. In addition, the MIAVR technique resulted in earlier extubation, fewer wound infections, reduced intraoperative transfusions, and shorter ICU and hospital stays. As compared to standard sternotomy AVR, our technique of MIAVR with preferential central cannulation appears safe.
Source: Interactive CardioVascular and Thoracic Surgery - September 23, 2014 Category: Cardiovascular & Thoracic Surgery Authors: Hui, D., Bowdish, M., Cleveland, J., Ranjan, R., Sinha, R., Baker, C. J., Cunningham, M. J., Starnes, V. A. Tags: Small incisions and sutureless valves: A perfect marriage Source Type: research

Free-floating left atrial ball thrombus after mitral valve replacement with patent coronary artery bypass grafts: successful removal by a right minithoracotomy approach without aortic cross-clamp
We describe a case in a 79-year-old woman with chronic atrial fibrillation and a recent stroke who had undergone mitral valve replacement 25 years previously and coronary artery bypass grafting 5 years previously. Redo cardiac surgery represents a clinical challenge due to a higher rate of peri-operative morbidity and mortality. Median re-sternotomy can be particularly difficult in patients with functioning coronary artery grafts, where the risk of graft injury is a significant concern. Prompt surgical intervention was carried out, and to avoid the challenge of re-sternotomy in this patient with two prior thoracotomies, ...
Source: General Thoracic and Cardiovascular Surgery - May 22, 2016 Category: Cardiovascular & Thoracic Surgery Source Type: research

Straight incision for extended descending and thoracoabdominal aortic replacement: novel and simple exposure with rib-cross thoracotomy
CONCLUSIONS This new exposure with straight incision with rib-cross thoracotomy provided excellent exposures for the long segment of the thoracoabdominal aorta, and it enabled extended replacement from the ascending aorta to the abdominal aorta.
Source: Interactive CardioVascular and Thoracic Surgery - August 21, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Minatoya, K., Seike, Y., Itonaga, T., Oda, T., Inoue, Y., Kawamoto, N., Miura, S., Tanaka, H., Sasaki, H., Kobayashi, J. Tags: Pericardium, Vascular malformations Adult Cardiac Source Type: research

Surgical repair of distal aortic arch aneurysm with distal extension: sternotomy versus thoracotomy
ConclusionsThe sternotomy approach showed better outcomes in terms of operative mortality, stroke, and pneumonia, as well as long-term survival compared to thoractomy. These results suggested that the sternotomy approach was more appropriate for patients with distal aortic arch aneurysms with distal extensions.
Source: The Annals of Thoracic Surgery - November 16, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Surgical repair of distal aortic arch aneurysm with distal extension: sternotomy versus thoracotomy.
CONCLUSIONS: The sternotomy approach showed better outcomes in terms of operative mortality, stroke, and pneumonia, as well as long-term survival compared to thoractomy. These results suggested that the sternotomy approach was more appropriate for patients with distal aortic arch aneurysms with distal extensions. PMID: 30448483 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - November 15, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Joo HC, Youn YN, Kim JH, Lee SH, Lee S, Yoo KJ Tags: Ann Thorac Surg Source Type: research

Minimally Invasive Mitral Valve Surgery Utilizing Heart Port Technology
ConclusionsOperative outcomes with minimally invasive mitral valve surgery utilizing port access technology can be performed safely. Stroke rate was higher in the reoperative cases (p = NS) although similar to reports evaluating redo sternotomy in mitral valve cases.
Source: Journal of Cardiac Surgery - February 4, 2014 Category: Cardiovascular & Thoracic Surgery Authors: Prashanth Vallabhajosyula, Tyler J. Wallen, Lauren P. Solometo, Jeanne Fox, William J. Vernick, W. Clark Hargrove Tags: Surgical Technique Source Type: research

Robot-assisted totally endoscopic coronary bypass surgery
AbstractTotally endoscopic coronary artery bypass (TECAB) surgery can exclusively be undertaken with the aid of operative robots. In the past two decades, surgical remote manipulator systems —predominantly the daVinci® devices—have brought us the reality of endoscopic internal mammary artery harvesting and coronary bypass anastomoses via minimally invasive thoracic port access. Single up to quadruple TECAB interventions are recently feasible; the procedure can be delivered either a s beating heart applying endoscopic vacuum stabilizer or under cardioplegic arrest on heart-lung machine. Significant surgical team learni...
Source: Indian Journal of Thoracic and Cardiovascular Surgery - November 13, 2017 Category: Cardiovascular & Thoracic Surgery Source Type: research

Minimally Invasive Approaches to Surgical Aortic Valve Replacement: A Meta-Analysis
ConclusionsMinimally invasive approaches to AVR yield excellent outcomes in high volume centers. They reduce hospital stay and incidence of post-operative atrial fibrillation, and, therefore, should be considered in patients undergoing AVR. However, the operative approach should be selected according to surgeon’s technical expertise and what is best for specific patient profile.
Source: The Annals of Thoracic Surgery - September 6, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Minimally Invasive Approaches to Surgical Aortic Valve Replacement: A Meta-Analysis.
CONCLUSIONS: Minimally invasive approaches to AVR yield excellent outcomes in high volume centers. They reduce hospital stay and incidence of post-operative atrial fibrillation, and, therefore, should be considered in patients undergoing AVR. However, the operative approach should be selected according to surgeon's technical expertise and what is best for specific patient profile. PMID: 30189193 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - September 3, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Chang C, Raza S, Altarabsheh SE, Delozier S, Sharma UM, Zia A, Neudecker M, Markowitz AH, Sabik JF, Deo SV Tags: Ann Thorac Surg Source Type: research

Direct Cannulation in Minimally Invasive Cardiac surgery with limited resources
ConclusionsIn our experience, this approach is a reliable platform for a variety of MICS procedures and has resulted in low complication rates. The technique can be applied safely to both paediatric and adult population. Also, it is very cost effective as regular instruments and cannulas are used.
Source: The Annals of Thoracic Surgery - July 21, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Direct Cannulation in Minimally Invasive Cardiac surgery with limited resources.
CONCLUSIONS: In our experience, this approach is a reliable platform for a variety of MICS procedures and has resulted in low complication rates. The technique can be applied safely to both paediatric and adult population. Also, it is very cost effective as regular instruments and cannulas are used. PMID: 31336068 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - July 19, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Kandakure PR, Batra M, Garre S, Nagendra S, Shaikh F, Pani K Tags: Ann Thorac Surg Source Type: research

Minimally invasive coronary artery bypass grafting: useful routine option for coronary revascularization in selected cases
ConclusionsMICS CABG is feasible and showed good mid-term outcomes. BITAs can be harvested with this approach; thus, allowing for various graft designs. We recommend this as a useful option for coronary revascularization in selected cases.
Source: General Thoracic and Cardiovascular Surgery - March 23, 2020 Category: Cardiovascular & Thoracic Surgery Source Type: research

Thoracotomy versus sternotomy? The effect of surgical approach on outcomes after left ventricular assist device implantation: A  review of the literature and meta‐analysis
ConclusionsIn the current meta ‐analysis including over 1000 patients undergoing LVAD implantation, a thoracotomy approach was associated with a reduced incidence of RVF (but not RVAD requirement), bleeding, LOS, and mortality. No difference in stroke rates was noted. These findings not only offer additional support as to the f easibility of a thoracotomy approach for LVAD implantation but also suggest a potential superiority over a sternotomy approach.
Source: Journal of Cardiac Surgery - April 28, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Berhane Worku, Ivan Gambardella, Mohamed Rahouma, Michelle Demetres, Mario Gaudino, Leonard Girardi Tags: ORIGINAL ARTICLE Source Type: research

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