Comparison of port access to sternotomy in tricuspid or mitral/tricuspid operations

Comparison of port access to sternotomy in tricuspid or mitral/tricuspid operations

Outcomes for a port-access (PA) approach for tricuspid valve operations have not been reported or compared to those using median sternotomy (MS). Retrospective analysis was performed for 88 consecutive patients undergoing tricuspid valve repair or replacement using port-access techniques (n = 27, 19...

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Veröffentlicht in:The Heart surgery forum 2002, Vol.5 (2), p.136-140
Hauptverfasser: Tripp, Henry F, Glower, Donald D, Lowe, James E, Wolfe, Walter G
Format: Artikel
Sprache:eng
Schlagworte:
Female
Heart Valve Diseases - surgery
Heart Valve Prosthesis Implantation - methods
Humans
Logistic Models
Male
Middle Aged
Mitral Valve - surgery
Retrospective Studies
Sternum - surgery
Thoracotomy - methods
Treatment Outcome
Tricuspid Valve - surgery
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Zusammenfassung:Outcomes for a port-access (PA) approach for tricuspid valve operations have not been reported or compared to those using median sternotomy (MS). Retrospective analysis was performed for 88 consecutive patients undergoing tricuspid valve repair or replacement using port-access techniques (n = 27, 1997-2000) versus sternotomy (n = 61, 1990-1997). PA procedures were performed through a 6 cm right fourth interspace thoracotomy. PA patients had lower ejection fractions (46% +/- 11% vs. 54% +/- 10%, p = 0.02), but had a similar incidence of previous surgery (17/27 (63%) vs. 33/61 (54%), p = 0.4). PA patients had more frequent concurrent mitral valve operations (22/27 (82%) vs. 37/61 (61%), p
ISSN:1098-3511