Operative Techniques in Cardiac & Thoracic SurgeryThis is an RSS file. You can use it to subscribe to this data in your favourite RSS reader, such as GoogleReader, or to display this data on your own website or blog. Subscribe to this data using MyMedWorm.Subscribe to this data using GoogleReader.Subscribe to this data using Bloglines.Subscribe to this data using MyYahoo.

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IntroductionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Few topics in the recent history of adult cardiac surgery have engendered the interest that accompanies the minimally invasive techniques described in this issue of Operative Techniques in Cardiac & Thoracic Surgery: A Comparative Atlas. There are a number of different definitions of the term “minimally invasive cardiac surgery.” Perhaps the most comprehensive definition is one that incorporates any technique that avoids either a median sternotomy or cardiopulmonary bypass, or both. This definition would include a coronary bypass procedure performed by a standard median sternotomy, but without the use of cardiopulmonar...
Source: Operative Techniques in Cardiac & Thoracic Surgery - February 1, 1998 Category: Cardiovascular & Thoracic Surgery Authors: James L. Cox, Thoralf M. Sundt Tags: Minimally Invasive Cardiac Surgery Source Type: journals

MIDCAB Approach for Single Vessel Coronary Artery Bypass GraftEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Interest in minimally invasive direct coronary artery bypass (MIDCAB) grafting on the beating heart is growing. The premise for adopting these less invasive approaches is that patient morbidity can be reduced without compromising the safety and efficacy of the coronary artery bypass graft (CABG). Despite early encouraging clinical results reported by Benetti et al, Buffolo et al, Pfister et al, Subramanian et al, and Calafiore et al, CABG without cardiopulmonary bypass (CPB) via midline sternotomy or minithoracotomy has met with concerns of technical limitations and efficacy of the anastomosis. Recently, the introduction o...
Source: Operative Techniques in Cardiac & Thoracic Surgery - February 1, 1998 Category: Cardiovascular & Thoracic Surgery Authors: V.A. Subramanian Tags: Minimally Invasive Cardiac Surgery Source Type: journals

Port-Access Multivessel Coronary Artery Bypass GraftingEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In the 1950s and 1960s, Drs Demikhov, Kolesov, and others successfully grafted the internal mammary artery to the coronary arteries in experimental and clinical settings. These early feats were remarkable in that the anastomoses were performed on a beating heart without a cardiopulmonary bypass. Although this method of coronary bypass grafting continued to be employed by a few surgeons in the 1970s and 1980s, it was abandoned by most as the techniques of cardiopulmonary bypass and methods of myocardial protection improved. As a result of pharmacologic advances and concern about the detrimental effects of the cardiopulmonar...
Source: Operative Techniques in Cardiac & Thoracic Surgery - February 1, 1998 Category: Cardiovascular & Thoracic Surgery Authors: James I. Fann, Mark A. Groh, Mario F. Pompili, Thomas A. Burdon, Bruce A. Reitz Tags: Minimally Invasive Cardiac Surgery Source Type: journals

Port-Access Approach for Minimally Invasive Mitral Valve SurgeryEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Port-access (PA) mitral valve surgery is performed through an anterior mini-thoracotomy with peripheral cardiopulmonary bypass (CPB) (). An arrest of the heart is achieved by balloon occlusion of the proximal aorta, and myocardial protection is obtained by the delivery of either antegrade or retrograde cardioplegia. The endoclamp is a multilumen, balloon-tipped catheter inserted through the femoral artery into position in the ascending aorta (). This specialized catheter allows for endo-aortic occlusion, aortic root pressure monitoring, and either aortic root cardioplegia administration or venting.
Source: Operative Techniques in Cardiac & Thoracic Surgery - February 1, 1998 Category: Cardiovascular & Thoracic Surgery Authors: Eugene A. Grossi, Greg Ribakove, Daniel S. Schwartz, Aubrey C. Galloway, Stephen B. Colvin Tags: Minimally Invasive Cardiac Surgery Source Type: journals

Aortic Valve Replacement By Mini-SternotomyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The introduction of the laparoscopic procedure, as well as later scope-based interventions by other surgical disciplines have resulted in the development of minimally invasive cardiac surgical procedures. These incisions are often foreign to traditional cardiac surgeons, but are now being increasingly used to approach aortic and/or mitral valves. Although important contributions in these areas continue to accrue almost daily, our group became convinced several years ago that access to the heart could be achieved by a modification of the traditional sternotomy, incorporating traditional cannulation techniques with a more li...
Source: Operative Techniques in Cardiac & Thoracic Surgery - February 1, 1998 Category: Cardiovascular & Thoracic Surgery Authors: Steven R. Gundry Tags: Minimally Invasive Cardiac Surgery Source Type: journals

Parasternal Approach for Minimally Invasive Aortic Valve SurgeryEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Aortic valve replacement for the stenotic or regurgitant aortic valve has been one of the major advances of medical science in the 20th century. Patients who have severe pressure gradients between the left ventricle and the aorta, or who have severely dilated hearts due to massive aortic regurgitation, are treated by insertion of a reliable mechanical or bioprosthetic device to relieve these hemodynamic abnormalities. This technique has saved hundreds of thousands of lives since the first successful aortic valve replacements by Harken et al, and Starr et al in 1960.
Source: Operative Techniques in Cardiac & Thoracic Surgery - February 1, 1998 Category: Cardiovascular & Thoracic Surgery Authors: Lawrence H. Cohn Tags: Minimally Invasive Cardiac Surgery Source Type: journals

Partial Sternotomy for Mitral Valve OperationsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Full median sternotomy has been the standard surgical approach to the heart for more than 30 years. There has been little impetus for cardiac surgeons to use different incisions because median sternotomy is easily performed and provides excellent exposure of the heart and great vessels. With the recent development of laparoscopic cholecystectomy and other minimally invasive surgical techniques, cardiac surgeons can now pursue other, potentially less-invasive surgical approaches to the heart.
Source: Operative Techniques in Cardiac & Thoracic Surgery - February 1, 1998 Category: Cardiovascular & Thoracic Surgery Authors: Delos M. Cosgrove, A. Marc Gillinov Tags: Minimally Invasive Cardiac Surgery Source Type: journals