Clinical effect of right minithoracotomy approach on tricuspid regurgitation after the left-sided valve surgery: A retrospective study of a single center
- VernacularTitle:经右胸小切口入路治疗左心瓣膜术后三尖瓣关闭不全临床效果的单中心回顾性研究
- Author:
Daokuo ZHENG
1
,
2
,
3
;
Baocai WANG
4
,
5
;
Zhaoyun CHENG
4
,
5
;
Yong ZHAO
4
,
5
;
Qiao ZHANG
1
,
2
,
3
;
Huakun ZHANG
1
,
2
,
3
;
Lu MA
1
,
2
,
3
;
Qianjin LIU
4
,
5
;
Zhenwei GE
4
,
5
Author Information
1. Department of Cardiovascular Surgery, Henan University People'
2. s Hospital, Henan Provincial People'
3. s Hospital, Zhengzhou, 450003, P. R. China
4. Department of Cardiovascular Surgery, Heart Center of Henan Provincial People'
5. s Hospital, Fuwai Central China Cardiovascular Hospital, Zhengzhou, 451464, P. R. China
- Publication Type:Journal Article
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2022;29(06):742-747
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the clinical efficacy of right minithoracotomy approach in the treatment of patients with regurgitation after left-sided valve surgery (LSVS). Methods The clinical data of 77 patients who suffered tricuspid regurgitation (TR) after LSVS and received surgical treatment in the Heart Center of Henan Provincial People's Hospital from 2012 to 2019 were selected. According to the operation method, the patients were divided into a right minithoracotomy group (n=32), including 13 (40.6%) males, aged 57.3±5.3 years and a median sternotomy group (n=45), including 17 (37.8%) males, aged 55.7±6.6 years. Preoperative and postoperative clinical data of the two groups were compared and analyzed. Results There was no significant difference in preoperative data between the two groups. There were 24 patients of tricuspid valvuloplasty (TVP) and 8 patients of tricuspid valve replacement (TVR) in the right minithoracotomy group. There were 29 patients of TVP and 16 patients of TVR in the median sternotomy group. The operation time, postoperative hospitalization time, intubation time and ICU stay time of the right minithoracotomy group were shorter than those of the median sternotomy group (P<0.001). The operative bleeding, postoperative drainage in 24 hours, postoperative blood transfusion rate and incision poor healing of the right minithoracotomy group were significantly decreased compared with those of the median sternotomy group (P<0.05). The extracorporeal circulation time between the two groups was not significantly different (P=0.382). The postoperative complications and mortality of the righ minithoracotomy group were significantly lower than those of the median sternotomy group (P<0.05). Conclusion The procedure of right minithoracotomy access can reduce perioperative morbidity and mortality compared with the median sternotomy, and results in satisfied clinical efficacy.
