%0 Journal Article
%T Cirurgia valvar mitral e da comunica£¿£¿o interatrial: abordagem minimamente invasiva ou por esternotomia
%A Castro Neto
%A Josu¨¦ V.
%A Melo
%A Emanuel
%A Fernandes
%A Juliana
%A Gomes
%A Regina
%A Freitas
%A Caroline
%A Machado
%A Jo£¿o
%A Martins
%A Francisco
%A Barbosa
%A Alo¨ªsio
%A Oliveira
%A Bernardo
%A Gondim
%A Cesar
%J Arquivos Brasileiros de Cardiologia
%D 2012
%I Sociedade Brasileira de Cardiologia - SBC
%R 10.1590/S0066-782X2012005000064
%X background: to decrease the surgical trauma in heart procedures, minimally invasive (mi) techniques were alternatively introduced. objective: to compare mi surgical access with median sternotomy (ms) for the treatment of mitral valve (mv) disease and atrial septal defect (asd). methods: forty patients underwent surgery for correction of mv disease or asd. patients were divided into group a (ga) (n=20), access by right minithoracotomy and video-assistance; and group b (gb) (n=20), access by full ms. aortic cross-clamp and cardiopulmonary bypass time, intensive care unit (icu) time, hospital stay and morbidity were compared in this prospective study . results: fifteen patients were submitted to mv procedures and five to asd corrections in each group. there were 9 mitral replacements (7 bioprostetic and 2 mechanical) and 6 repairs in ga, and 10 (all bioprostetic) and five in gb. the mean aortic cross-clamp and cardiopulmonary bypass time, in minutes, were 65.1 ¡À 29.3 in ga and 50.2 ¡À 21.4 in gb (p=0.074); and 91.8¡À35 in ga and 63.7¡À27.3 in gb ( p=0.008). the mean icu time, in hours, were 51.7 ¡À 16.3 in ga and 55.8¡À17.5 in gb (p=0.45). the in hospital stay, in days, were 5.2 ¡À 1 in ga and 6.4¡À1.5 in gb (p=0.009). conclusion: mi access for correction of the mv disease and asd implicated in a longer cardiopulmonary bypass time for finalization of the main procedure, nevertheless it didn¡ät affect patient's recuperation. mi treated patients were discharged earlier than sternotomy treated patients.
%K mitral valve [surgery]
%K sternotomy
%K heart septal defects
%K atrial [surgery]
%K surgical procedures
%K minimally invasive.
%U http://www.scielo.br/scielo.php?script=sci_abstract&pid=S0066-782X2012005000064&lng=en&nrm=iso&tlng=en