%0 Journal Article
%T Hundred plus Minimally Access Cardiac Surgery: Our Experience
%A Anil Bhattarai
%A Arjun Gurung
%A Prabhat Khakural
%A Ravi Baral
%A Bhagawan Koirala
%J World Journal of Cardiovascular Surgery
%P 256-263
%@ 2164-3210
%D 2022
%I Scientific Research Publishing
%R 10.4236/wjcs.2022.1210023
%X <b><span style=\"font-family:Verdana;\">Background: </span></b><span style=\"font-family:Verdana;\">Minimally invasive procedures lead to less scarring resulting in better
cosmetic outcome</span><span style=\"font-family:Verdana;\">s</span><span style=\"font-family:Verdana;\">. This
has resulted in increased patient interest in such procedures and this has
motivated surgeons to pursue newer and improved techniques for Minimally
invasive cardiac surgery (MICS). Obviously</span><span style=\"font-family:Verdana;\">,</span><span style=\"font-family:Verdana;\"> with the advent of MICS the techniques to achieve
it also needed to be changed and upgraded which includes access for cannulation
for cardiopulmonary bypass</span><span style=\"font-family:;\" \"=\"\"> </span><span style=\"font-family:Verdana;\">(CPB).
Right internal jugular vein percutaneous</span><span style=\"font-family:;\" \"=\"\"> </span><span style=\"font-family:Verdana;\">cannulation, together with the direct</span><span style=\"font-family:;\" \"=\"\"> </span><span style=\"font-family:Verdana;\">surgical</span><span style=\"font-family:;\" \"=\"\"> </span><span style=\"font-family:Verdana;\">cannulation</span><span style=\"font-family:;\" \"=\"\"> </span><span style=\"font-family:Verdana;\">of femoral vessels with
minithoracotomy/ministernotomy proves to be a safe and effective tool in
patients with body weight of above 20 kg for minimally access cardiac surgery.
We use this technique for Atrial septal defect (ASD)</span><span style=\"font-family:;\" \"=\"\"> </span><span style=\"font-family:Verdana;\">closure, aortic valve replacement (AVR), redo
Tricuspid valve replacement (TVR) and mitral valve replacement (MVR). Here, we
describe our experience with minimally invasive approach using total peripheral
cannulation</span><span style=\"font-family:;\" \"=\"\"> </span><span style=\"font-family:Verdana;\">and an
anterior mini-thoracotomy (6</span><span style=\"font-family:;\" \"=\"\"> </span><span style=\"font-family:Verdana;\">cm</span><span style=\"font-family:;\" \"=\"\"> </span><span style=\"font-family:Verdana;\">or less)</span><span style=\"font-family:;\" \"=\"\"> </span><span style=\"font-family:;\" \"=\"\"><span style=\"font-family:Verdana;\">incision for ASD closure,
AVR, TVR and MVR. </span><b><span style=\"font-family:Verdana;\">Methods: </span></b><span style=\"font-family:Verdana;\">The preoperative variables, intraoperative
data and postoperative outcomes of patients undergoing minimally invasive ASD
closure, AVR, TVR and MVR with total peripheral cannulation</span></span><span
%K Minimal Invasive Cardiac Surgery
%K Cosmetic Outcome
%K Total Peripheral Cannulation
%U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=120637