Minimally invasive ascending aorta surgery through a right anterior thoracotomy via the second intercostal incision: A single-center experience of 13 patients
- VernacularTitle:右前胸第二肋间小切口升主动脉手术的单中心分析
- Author:
Qiang JI
1
;
Yulin WANG
1
;
Jun LI
1
;
Xiaoning SUN
1
;
Zhaohua YANG
1
;
Sun PAN
1
;
Hao LAI
1
;
Chunsheng WANG
2
,
3
Author Information
1. Department of Cardiovascular Surgery of Zhongshan Hospital Fudan University, Shanghai, 200032, P.R.China
2. 1. Department of Cardiovascular Surgery of Zhongshan Hospital Fudan University, Shanghai, 200032, P.R.China
3. 2. Shanghai Municipal Institute for Cardiovascular Diseases, Shanghai, 200032, P.R.China
- Publication Type:Journal Article
- Keywords:
Minimally invasive cardiac surgery;
right anterior second intercostal incision;
minimally invasive Bentall operation;
minimally invasive Wheat operation;
minimally invasive ascending aorta replacement
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2021;28(02):202-207
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the feasibility, safety, and short-term effect of minimally invasive ascending aorta surgery through a right anterior thoracotomy via the second intercostal incision. Methods The clinical data of 13 patients who underwent minimally invasive ascending aorta surgery (including minimally invasive Bentall operation in 7 patients, minimally invasive Wheat operation in 2 patients, and minimally invasive ascending aorta replacement in 4 patients) through a right anterior thoracotomy via the second intercostal incision in our center from October, 2019 to September, 2020 were retrospectively analyzed. There were 12 males and 1 female at age of 19-69 (52.4±13.7) years. Results The aortic cross-clamping time was 84.3±18.3 min. Three patients received blood transfusion, with the rate of 23.1%. The drainage volume in the first 24 hours after operation was 214.5±146.3 mL, with no redo for bleeding. The duration of mechanical ventilation was 19.0±11.3 hours and the length of intensive care unit stay was 1.8±1.3 days. The drainage tube was removed 2.5±1.0 days after operation. All the 13 patients recovered and discharged 6.4±2.0 days after operation, with no dead patients found. All patients survived with New York Heart Association (NYHA) functional classⅠandⅡduring a median follow-up of 8 months. Conclusion Minimally invasive ascending aorta surgery through a right anterior thoracotomy via the second intercostal incision may be a safe and effective method with less injury and quick recovery.
