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Cirurgia cardíaca videoassistida: 6 anos de experiência

DOI: 10.5935/1678-9741.20120006

Keywords: heart valves [cirurgia], video-assisted surgery, thoracic surgery, video-assisted.

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Abstract:

introduction: minimally invasive and video-assisted cardiac surgery (vacs) has increased in popularity over the past 15 years. the small incisions have been associated with a good aesthetic effect and less surgical trauma, therefore less postoperative pain and rapid recovery. objectives: to present our series with vacs, after 6 years of use of the method. methods: 136 patients underwent vacs, after written consent, between september 2005 and october 2011, 50% for men and age of 47.8 ± 15, 4anos, divided into two groups: with cardiopulmonary (cec) (gccec=105 patients): mitral valve disease (47/105), aortic disease (39/105), congenital heart disease (19/105) and without extracorporeal circulation (cec) (gscec=31 patients): cardiac resynchronization (18/ 31), cardiac tumor (4/31) and minimally invasive coronary artery bypass grafting (6/31). gccec was held in right minithoracotomy (3 to 5 cm) and femoral access to perform cannulation. results: in gccec, mean length of icu stay and hospital stay were respectively 2.4 ± 4.5 days and 5.0 ± 6.8 days. twelve patients presented complications in post-operative and five (4.8%) death. ninety-three (88.6%) patients evolved uneventful, were extubated in operating room, and remained a mean of 1.8 ± 0.9 days in icu and 3.6±1.3 days in the hospital. in gscec, were mean 1.3 ± 0.7 days in icu and 2.9 ± 1.4 days in hospital and without complications or deaths. conclusion: the results found in this series are comparable to those of world literature and confirm the method as an option the conventional technique.

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