Minimally Invasive Port-Access Mitral Valve Surgery

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Presentation transcript:

Minimally Invasive Port-Access Mitral Valve Surgery F.W. Mohr, MD, PhD, V. Falk, MD, A. Diegeler, MD, T. Walther, MD, J.A.M. van Son, MD, PhD, R. Autschbach, MD, PhD, Hans G. Borst, MD The Journal of Thoracic and Cardiovascular Surgery Volume 115, Issue 3, Pages 567-576 (March 1998) DOI: 10.1016/S0022-5223(98)70320-4 Copyright © 1998 Mosby, Inc. Terms and Conditions

Fig. 1 Incision for minimally invasive Port-Access mitral valve surgery. The Journal of Thoracic and Cardiovascular Surgery 1998 115, 567-576DOI: (10.1016/S0022-5223(98)70320-4) Copyright © 1998 Mosby, Inc. Terms and Conditions

Fig. 2 Specially designed rib retractor with integrated arm to enhance exposure of the mitral valve and housing a left atrial vent. The Journal of Thoracic and Cardiovascular Surgery 1998 115, 567-576DOI: (10.1016/S0022-5223(98)70320-4) Copyright © 1998 Mosby, Inc. Terms and Conditions

Fig. 3 Intraoperative fluoroscopy showing inflated endovascular aortic clamp positioned in the ascending aorta (left). Dye is injected via the distal lumen into the aortic root, visualizing the coronary arteries and competent aortic valve. Intraoperative TEE of the aortic root (long-axis view 130 degrees) showing the position of the endovascular aortic clamp at a distance of 2.6 cm from the aortic anulus (right). The Journal of Thoracic and Cardiovascular Surgery 1998 115, 567-576DOI: (10.1016/S0022-5223(98)70320-4) Copyright © 1998 Mosby, Inc. Terms and Conditions

Fig. 4 Day by day pain perception graded by visual analog scale (VAS). Comparison of 20 patients undergoing conventional mitral valve surgery (conv.) as compared with 20 patients who underwent the minimally invasive procedure (MIC). Error bars indicate standard error of the mean. d, Days. The Journal of Thoracic and Cardiovascular Surgery 1998 115, 567-576DOI: (10.1016/S0022-5223(98)70320-4) Copyright © 1998 Mosby, Inc. Terms and Conditions