Abstract：
OBJECTIVE:To compare patients undergoing valve surgery through a minithoracotomy approach with a matched group undergoing conventional valve surgery. DESIGN:Control study. SETTING:University hospital, single center. PARTICIPANTS:Forty-one consecutive patients scheduled for valve surgery by minithoracotomy approach were matched with a similar group of patients operated on by the sternotomy approach. INTERVENTIONS:Criteria for matching included type of valve procedure (aortic valve replacement or mitral valve repair), age, surgeons, and left ventricular function. Two surgeons performed the surgical procedures. Perioperative care was standardized for all patients. Operative and postoperative data were recorded. MEASUREMENTS AND MAIN RESULTS:The 41 pairs of patients were correctly matched, except for left ventricular function (n = 1). Twenty patients underwent mitral valve repair and 62 aortic valve replacement. Preoperative demographic data and clinical characteristics were similar in both groups. Cardiopulmonary bypass, aortic clamping, and surgery times were longer in the minithoracotomy group (p < 0.05). In 3 patients, the minithoracotomy approach had to be converted into a sternotomy during the surgical procedure for better visualization. Minithoracotomy patients had significantly increased postoperative total blood loss (p < 0.05). No difference was found between the groups for extubation time and intensive care or in-hospital lengths of stay. CONCLUSION:These results suggest that valve surgery is feasible in many cases through minithoracotomy. Nevertheless, this approach increases surgical complexity and in this comparative study no significant benefit was shown.
journal_name
J Cardiothorac Vasc Anesthjournal_title
Journal of cardiothoracic and vascular anesthesiaauthors
de Vaumas C,Philip I,Daccache G,Depoix JP,Lecharny JB,Enguerand D,Desmonts JMdoi
10.1016/s1053-0770(03)00051-xkeywords:
subject
Has Abstractpub_date
2003-06-01 00:00:00pages
325-8issue
3eissn
1053-0770issn
1532-8422pii
S105307700300051Xjournal_volume
17pub_type
临床试验,杂志文章abstract：OBJECTIVE:To evaluate the incidence of postoperative atrial fibrillation (POAF), the predisposing factors, the results of treatment before discharge, and the impact on duration and costs of hospitalization. DESIGN:A prospective observational study. METHODS:Patients who underwent cardiac surgery from January 1, 2007 t...
journal_title：Journal of cardiothoracic and vascular anesthesia
pub_type： 杂志文章
doi：10.1053/j.jvca.2010.03.009
更新日期：2010-12-01 00:00:00
abstract：OBJECTIVE:To compare dexmedetomidine-based to propofol-based sedation after coronary artery bypass graft (CABG) surgery in the intensive care unit (ICU). DESIGN:Randomized, open label. SETTING:Twenty-five centers in the United States and Canada. PARTICIPANTS:Two hundred ninety-five adults undergoing CABG surgery. I...
journal_title：Journal of cardiothoracic and vascular anesthesia
pub_type： 临床试验,杂志文章,多中心研究,随机对照试验
doi：10.1016/s1053-0770(03)00200-3
更新日期：2003-10-01 00:00:00
abstract：:Spectral Doppler is a part of the comprehensive echocardiographic imaging of the blood flow characteristics. Both pulsed-wave (PWD) and continuous-wave Doppler (CWD) provide valuable information about the blood flow speed and direction pattern. Evaluation of blood flow characteristics is crucially important in patient...
journal_title：Journal of cardiothoracic and vascular anesthesia
pub_type： 杂志文章
doi：10.1053/j.jvca.2018.11.006
更新日期：2019-05-01 00:00:00
abstract：OBJECTIVE:Two types of material are used to manufacture double-lumen endobronchial tubes (DLTs): Polyvinylchloride (PVC) and silicon. PVC DLTs (Broncho-Cath) and silicon DLTs (Silbroncho) not only differ in material, but also subtly differ in structure. The goal of this study was to determine whether the incidences of ...
journal_title：Journal of cardiothoracic and vascular anesthesia
pub_type： 杂志文章,随机对照试验
doi：10.1053/j.jvca.2014.05.028
更新日期：2015-02-01 00:00:00
abstract：OBJECTIVES:Open cardiac surgery may cause severe postoperative pain. The authors hypothesized that patients receiving a bundle of care using continuous erector spinae plane blocks (ESPB) would have decreased perioperative opioid consumption and improved early outcome parameters compared with standard perioperative mana...
journal_title：Journal of cardiothoracic and vascular anesthesia
pub_type： 杂志文章
doi：10.1053/j.jvca.2018.11.021
更新日期：2019-06-01 00:00:00
abstract：OBJECTIVES:To identify the prevalence of and risk factors for inadvertent hypothermia after procedures performed with procedural sedation and analgesia in a cardiac catheterization laboratory. DESIGN:A single-center, prospective observational study. SETTING:A tertiary-care private hospital in Australia. PARTICIPANTS...
journal_title：Journal of cardiothoracic and vascular anesthesia
pub_type： 杂志文章
doi：10.1053/j.jvca.2015.06.002
更新日期：2015-10-01 00:00:00
abstract：:To avoid intraoperative awareness and postoperative respiratory depression from high-dose opioid anesthesia, propofol (P), or isoflurane (I) has been combined with moderate-dose opioid with varying results. However, the effects of both P and I on myocardial contractility and left ventricular afterload have not been co...
journal_title：Journal of cardiothoracic and vascular anesthesia
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1016/s1053-0770(05)80050-3
更新日期：1995-02-01 00:00:00
abstract：OBJECTIVE:To determine whether access to reimbursement increases anesthesiologists' use of intraoperative transesophageal echocardiography (TEE). DESIGN:Survey. SETTING:United States. PARTICIPANTS:Members of the Society of Cardiovascular Anesthesiologists, local Medicare carriers. INTERVENTIONS:None. MEASUREMENTS ...
journal_title：Journal of cardiothoracic and vascular anesthesia
pub_type： 杂志文章
doi：10.1053/jcan.2002.124137
更新日期：2002-06-01 00:00:00
abstract：:Nine NYHA class III-IV patients awaiting heart transplantation (HTx) were studied with a right ventricular ejection fraction (RVEF) catheter. The first aim of the study was to explore the pulmonary and systemic circulatory effects of dobutamine (D) and/or nitroprusside (N) in these patients. The second aim was to sear...
journal_title：Journal of cardiothoracic and vascular anesthesia
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1016/1053-0770(93)90013-b
更新日期：1993-06-01 00:00:00
abstract：:Two-dimensional visualization of complex congenital heart disease has limitations in that there is variation in the interpretation by different individuals. Three-dimensional printing technology has been in use for decades but is currently becoming more commonly used in the medical field. Congenital heart disease serv...
journal_title：Journal of cardiothoracic and vascular anesthesia
pub_type： 杂志文章,评审
doi：10.1053/j.jvca.2017.11.037
更新日期：2018-08-01 00:00:00
abstract：OBJECTIVES:The present study assessed the safety and efficacy of continuous venovenous hemodialysis (CVVHD) early after cardiac surgery. DESIGN:Retrospective database and medical record review. SETTING:University teaching hospital. PARTICIPANTS:Forty-five dialysis-dependent patients who underwent cardiac surgery wit...
journal_title：Journal of cardiothoracic and vascular anesthesia
pub_type： 杂志文章
doi：10.1053/j.jvca.2006.02.003
更新日期：2007-06-01 00:00:00
abstract：OBJECTIVE:It was hypothesized that methylene blue could neutralize heparin in patients after cardiopulmonary bypass and become an alternative to protamine. DESIGN:This was a prospective unblinded study with patients serving as their own controls. SETTING PARTICIPANTS: A single, large university hospital. This study wa...
journal_title：Journal of cardiothoracic and vascular anesthesia
pub_type： 杂志文章
doi：10.1016/s1053-0770(05)80007-2
更新日期：1996-06-01 00:00:00
abstract：:A pulmonary artery catheter (PAC) capable of continuous cardiac output (CCO) determination by thermodilution has recently been introduced. The purpose of this study was to compare CCO with two other methods of cardiac output (Ot) determination: electromagnetometry (EM) and standard bolus thermodilution cardiac output ...
journal_title：Journal of cardiothoracic and vascular anesthesia
pub_type： 杂志文章
doi：10.1016/1053-0770(94)90193-7
更新日期：1994-12-01 00:00:00
abstract：OBJECTIVE:To determine whether there are differences among measures of heart rate variability (HRV; traditional and nonlinear) after anesthesia and cardiac surgery. DESIGN:Prospective. SETTING:University hospital. PARTICIPANTS:Patients scheduled for cardiac surgery. INTERVENTIONS:None. Medical management was not va...
journal_title：Journal of cardiothoracic and vascular anesthesia
pub_type： 杂志文章
doi：10.1016/s1053-0770(99)90219-7
更新日期：1999-08-01 00:00:00
abstract：OBJECTIVE:The study's aim was to compare response entropy (RE) and state entropy (SE) with bispectral index (BIS) electroencephalography (EEG) as an alternative cerebral monitoring tool in patients scheduled for coronary artery bypass graft surgery. DESIGN:Prospective, observational single-center study. SETTING:Unive...
journal_title：Journal of cardiothoracic and vascular anesthesia
pub_type： 杂志文章
doi：10.1053/j.jvca.2009.09.013
更新日期：2010-08-01 00:00:00
abstract：OBJECTIVES:The aim of this study was to evaluate the ability of static, volumetric, and dynamic parameters of cardiac preload to predict volume responsiveness during one-lung ventilation (OLV). DESIGN:Prospective experimental study. SETTING:Laboratory of the animal facility of the University Medical Center Hamburg-Ep...
journal_title：Journal of cardiothoracic and vascular anesthesia
pub_type： 杂志文章
doi：10.1053/j.jvca.2013.05.003
更新日期：2013-12-01 00:00:00
abstract：OBJECTIVES:To investigate the association between adenosine diphosphate (ADP)-induced platelet aggregation measured by single-platelet count testing and postoperative blood loss in clopidogrel-treated patients with acute coronary syndromes undergoing coronary artery bypass grafting (CABG). DESIGN:Prospective observati...
journal_title：Journal of cardiothoracic and vascular anesthesia
pub_type： 杂志文章
doi：10.1053/j.jvca.2013.10.007
更新日期：2014-04-01 00:00:00
abstract：:The presence of an inotropic action of prostaglandin E1 (PGE1) in vivo is controversial, and there are conflicting results obtained by various indices of myocardial contractility. In this study, a direct effect of PGE1 on contractility was investigated in dogs by use of a load-independent contractile index: left ventr...
journal_title：Journal of cardiothoracic and vascular anesthesia
pub_type： 杂志文章
doi：10.1016/1053-0770(92)90102-d
更新日期：1992-10-01 00:00:00
abstract：:Cardiopulmonary bypass has been shown to activate various inflammatory cascades in the body, resulting in pathophysiological changes that may affect patient outcome after cardiac surgery. Many of these inflammatory cascades are enzyme mediated, involving serine proteases. This report reviews the mechanisms of bypass-m...
journal_title：Journal of cardiothoracic and vascular anesthesia
pub_type： 杂志文章,评审
doi：10.1016/s1053-0770(97)80006-7
更新日期：1997-04-01 00:00:00
abstract：OBJECTIVE:Prophylactic administration of tranexamic acid (TA), an antifibrinolytic agent, decreases bleeding after cardiac surgery with systemic hypothermia (25 degrees C to 29 degrees C). Warmer systemic temperatures during cardiopulmonary bypass (CPB) may reduce bleeding and thus alter the requirement for TA. The eff...
journal_title：Journal of cardiothoracic and vascular anesthesia
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1016/s1053-0770(98)90235-x
更新日期：1998-12-01 00:00:00
abstract：:Clinical manifestations of coronavirus disease 2019 in pregnant women, in contrast to previous outbreaks, seem to be similar to those of nonpregnant women. During severe acute respiratory syndrome (SARS), SARS influenza A, and Middle East respiratory syndrome outbreaks, an increased severity of disease among pregnant ...
journal_title：Journal of cardiothoracic and vascular anesthesia
pub_type：
doi：10.1053/j.jvca.2020.07.088
更新日期：2020-08-06 00:00:00
abstract：:Pulmonary thromboendarterectomy (PTE) remains the only curative surgery for patients with chronic thromboembolic pulmonary hypertension (CTEPH). Postoperative intensive care unit care challenges providers with unique disease physiology, operative sequelae, and the potential for detrimental complications. Central conce...
journal_title：Journal of cardiothoracic and vascular anesthesia
pub_type： 杂志文章,评审
doi：10.1053/j.jvca.2019.03.005
更新日期：2019-11-01 00:00:00
abstract：:The effects of induction of anesthesia with fentanyl, 62.1 +/- 7.9 micrograms/kg, diazepam, 0.21 +/- 0.08 mg/kg, and pancuronium on beat-to-beat heart rate variations were studied in seven patients undergoing cardiac surgery. Spectral analysis was used to determine the intensity of the variations in each of the two ma...
journal_title：Journal of cardiothoracic and vascular anesthesia
pub_type： 杂志文章
doi：10.1016/1053-0770(92)90011-u
更新日期：1992-08-01 00:00:00
abstract：:Temporary left ventricular support aims to decompress the left ventricle and provide adequate forward flow into the arterial circulation. This can be accomplished with endovascular devices such as the Impella with an internal motor, or with the implementation of cannulae to drain the left ventricle or left atrium and ...
journal_title：Journal of cardiothoracic and vascular anesthesia
pub_type：
doi：10.1053/j.jvca.2020.12.009
更新日期：2020-12-13 00:00:00
abstract：OBJECTIVE:To examine the association between blood component transfusions and the incidence of major postoperative infections in patients undergoing esophageal resection surgery. DESIGN:Retrospective cohort study. SETTING:Single academic tertiary referral center. PARTICIPANTS:All patients who underwent esophagectomy...
journal_title：Journal of cardiothoracic and vascular anesthesia
pub_type： 杂志文章
doi：10.1053/j.jvca.2011.12.015
更新日期：2012-08-01 00:00:00
abstract：OBJECTIVE:To test the reproducibility of Sonoclot coagulation analysis (SCA; Sienco Inc, Morrison, CO). The authors wished to determine if the mix/release of the preloaded celite activator in standard Sono-cuvettes could be responsible for the high variation coefficients for SCA parameters with citrated whole blood and...
journal_title：Journal of cardiothoracic and vascular anesthesia
pub_type： 杂志文章
doi：10.1016/s1053-0770(99)90209-4
更新日期：1999-08-01 00:00:00
abstract：OBJECTIVE:The purpose of this study was to determine the incidence and significance of abnormal hepatic Doppler venous flow velocities as signs of an abnormal right ventricular filling pattern before cardiac surgery. DESIGN:Retrospective and prospective validation study. SETTING:Tertiary care hospital. PARTICIPANTS:...
journal_title：Journal of cardiothoracic and vascular anesthesia
pub_type： 杂志文章
doi：10.1053/j.jvca.2004.11.052
更新日期：2005-12-01 00:00:00
abstract：OBJECTIVE:Cerebral near-infrared spectroscopy (NIRS) was evaluated for use in monitoring global oxygenation in adult patients after cardiac surgery. DESIGN:Prospective, randomized clinical monitoring study. SETTING:Intensive care unit for cardiac surgery; university hospital. PARTICIPANTS:The study included 35 patie...
journal_title：Journal of cardiothoracic and vascular anesthesia
pub_type： 杂志文章,随机对照试验
doi：10.1053/j.jvca.2006.09.010
更新日期：2007-08-01 00:00:00
abstract：:Despite improvements in surgical techniques and perioperative care, cardiac surgery still is burdened by relatively high mortality and frequent major postoperative complications, including myocardial dysfunction, pulmonary complications, neurologic injury, and acute kidney injury. Although the surgeon's skills and vol...
journal_title：Journal of cardiothoracic and vascular anesthesia
pub_type： 杂志文章,评审
doi：10.1053/j.jvca.2020.03.054
更新日期：2020-04-20 00:00:00
abstract：:Since DeBakey's replacement of an aortic arch aneurysm using cardiopulmonary bypass and individual perfusion of the brachiocephalic and carotid arteries, selective cerebral perfusion has been used as an effective method of cerebral protection. Although interest in this technique waned with the evolution of hypothermic...
journal_title：Journal of cardiothoracic and vascular anesthesia
pub_type： 杂志文章,评审
doi：10.1016/s1053-0770(96)80181-9
更新日期：1996-01-01 00:00:00
