A special adapted retractor for the mini-sternotomy approach

Slides:



Advertisements
Similar presentations
Aortic Valve Replacement With Patch Enlargement of the Aortic Annulus
Advertisements

Ten-year trends in heart valve replacement operations
Repeat Sternotomy: No Longer a Risk Factor in Mitral Valve Surgical Procedures  Mehrdad Ghoreishi, MD, Murtaza Dawood, MD, Gerald Hobbs, PhD, Chetan Pasrija,
Reoperative minimal access aortic valve surgery: Minimal mediastinal dissection and minimal injury risk  Minoru Tabata, MD, MPH, Zain Khalpey, MD, PhD,
Outcomes of Reintervention on the Autograft After Ross Procedure
Improved Method for Direct Coronary Grafting Without CPB via Anterolateral Small Thoracotomy  Piet W Boonstra, MD, PhD, Jan G Grandjean, MD, Massimo A.
Jan G Grandjean, MD, PhD, Marco Lucchi, MD, Massimo A Mariani, MD, PhD 
Long-Term Consequences of Postoperative Heart Failure After Surgery for Aortic Stenosis Compared With Coronary Surgery  Farkas B. Vánky, MD, PhD, Erik.
Can An Early Peri-Anastomotic LITA Stenosis Be Reversible?
Thymectomy by partial sternotomy for the treatment of myasthenia gravis  Paulo M Pêgo-Fernandes, MD, PhD, José Ribas Milanez de Campos, MD, PhD, Fabio.
Michael E. Halkos, MD, Patrick Kilgo, MS, Omar M
Lars G. Svensson, MD, PhD  The Annals of Thoracic Surgery 
CTSNet: a unique educational vehicle
G. James Avery, MD, S. Jill Ley, RN, J
James L Zellner, MD, Scott B Kribbs, BS, B
Mini-sternotomy for off-pump coronary artery bypass grafting
Ten-year trends in heart valve replacement operations
What is the marginal cost for marginal risk in cardiac surgery?
Pain and quality of life after minimally invasive versus conventional cardiac surgery  Thomas Walther, MD, Volkmar Falk, MD, Sebastian Metz, Anno Diegeler,
Robotic-Assisted Coronary Artery Bypass on a Beating Heart: Initial Experience and Implications for the Future  William F. Turner, MD, John H. Sloan,
Current determinants of operative mortality in 1400 patients requiring aortic valve replacement  Ines Florath, PhD, Ulrich P Rosendahl, MD, Amir Mortasawi,
Surgical intervention criteria for thoracic aortic aneurysms: a study of growth rates and complications  Michael A Coady, MD, John A Rizzo, PhD, Graeme.
Fast-track congenital heart operations: a less invasive technique and early extubation  Stefano M Marianeschi, MD, Francesco Seddio, MD, Doff B McElhinney,
Fate of Functional Mitral Regurgitation and Predictors of Persistent Mitral Regurgitation After Isolated Aortic Valve Replacement  Hyun-Chel Joo, MD,
Mohammad Bashar Izzat, Song Wan, MD, PhD, Innes Y
Partial Median “I” Sternotomy: Minimally Invasive Alternate Approach for Aortic Valve Replacement  Johannes Boehm, MD, Paul Libera, MD, Albrecht Will,
A Standardized Loop Technique for Mitral Valve Repair
Less invasive aortic root replacement
Direct True Lumen Cannulation (“Samurai” Cannulation) for Acute Stanford Type A Aortic Dissection  Tadashi Kitamura, MD, PhD, Masaki Nie, MD, PhD, Tetsuya.
Are older patients with mechanical heart valves at increased risk?
Aortic Valve Replacement Through a Minimally Invasive Approach: Preoperative Planning, Surgical Technique, and Outcome  Andre Plass, MD, Hans Scheffel,
Reversed “C” ministernotomy for aortic valve replacement
Kazunobu Hirooka, Charles D. Fraser  The Annals of Thoracic Surgery 
Minimally Invasive Port-Access Mitral Valve Surgery
Ministernotomy versus median sternotomy for aortic valve replacement: a prospective, randomized study  Alejandro Aris, MD, PhD, Maria Luisa Cámara, MD,
Repeat Sternotomy: No Longer a Risk Factor in Mitral Valve Surgical Procedures  Mehrdad Ghoreishi, MD, Murtaza Dawood, MD, Gerald Hobbs, PhD, Chetan Pasrija,
Outcome analysis of 245 CarboMedics and St
Leonid Sternik, MD, Kenton J Zehr, MD, Hartzell V Schaff, MD 
Robert W. Emery, MD, Christopher C. Krogh, Kit V. Arom, MD, PhD, Ann M
Axilloaxillary Cardiopulmonary Bypass: A Practical Alternative to Femorofemoral Bypass  David P Bichell, Jorge M Balaguer, Sary F Aranki, Gregory S Couper,
Postinfarction ventricular septal rupture: Early repair through the right atrial approach  Massimo Massetti, MD, Gerard Babatasi, MD, PhD, Olivier Le Page,
Robotically-Assisted Left Atrial Fibrillation Ablation and Mitral Valve Repair Through a Right Mini-Thoracotomy  Gil Bolotin, MD, PhD, Alan P. Kypson,
Long-term durability of resection and end-to-end anastomosis for ascending aortic aneurysms  Massimo Massetti, MD, Sebastien Veron, MD, Eugenio Neri,
Mitral Valve Replacement Under Video Assistance Through a Minithoracotomy  Federico J Benetti, MD, Jose Luis Rizzardi, MD, Lelio Pire, MD, Aldo Polanco,
Exposure of the mitral valve by transecting the ascending aorta during aortic and mitral valve replacement  V.R Machiraju, MD, Claudio A.B Lima, MD, Michael.
Hans-Joachim Schäfers, MD, PhD, Diana Aicher, MD, Frank Langer, MD 
Abdominal aneurysm rupture and left main stenosis: Emergency one-stage repair with off-pump coronary surgery  Gerard Babatasi, MD, PhD, Massimo Massetti,
The Annals of Thoracic Surgery
Optimizing Mitral Valve Exposure With Conventional Left Atriotomy
Arnt E Fiane, MD, Odd R Geiran, MD, PhD, Jan L Svennevig, MD, PhD 
Mycotic Aneurysm of the Aortic Arch Presenting With Left Vocal Cord Palsy  George Tokmaji, Igor Gosev, MD, Kanako Kunishima Kumamaru, MD, PhD, Ralph Morton.
Ross Operation and Mitral Homograft for Aortic and Tricuspid Valve Endocarditis  Alain Prat, Olivier H. Fabre, André Vincentelli, Vincent Doisy, Ghatfan.
Stroke in cardiac surgical patients: determinants and outcome
Ten-year echocardiographic and clinical follow-up of aortic Carpentier-Edwards pericardial and supraannular prosthesis: a case-match study  Thierry Le.
Aortic valve exposure through a combined right atrial-ascending aortic approach in redo cases  Antonio M Calafiore, MD, Gabriele Di Giammarco, MD, Giuseppe.
Neal S Goldstein, MD  The Annals of Thoracic Surgery 
Outcomes of Minimally Invasive Valve Surgery Versus Median Sternotomy in Patients Age 75 Years or Greater  Joseph Lamelas, MD, Alejandro Sarria, MD, Orlando.
Late incidence and determinants of stroke after aortic and mitral valve replacement  Marc Ruel, MD, MPH, Roy G Masters, MD, Fraser D Rubens, MD, Pierre.
Transapical Arterial Cannulation for Salvage Cardiopulmonary Bypass in Transcatheter Aortic Valve Replacement  Derek R. Brinster, MD, Jay A. Patel, Harry.
Alternative Technique for the Ostium Primum Defect Repair: A Free Wall Flap of Right Atrium  Massimo Massetti, MD, Gerard Babatasi, MD, Eugenio Neri,
Minimally Invasive Reversed Z Sternotomy for Aortic Valve Replacement
Less invasive cardiac operations through a median sternotomy: 100 consecutive cases  Massimo Massetti, MD, Gerard Babatasi, MD, PhD, Anne Lotti, MD, Satar.
Preservation of Anterior and Posterior Leaflet in Mitral Valve Replacement With a Tilting- Disc Valve  Joong H Choh  The Annals of Thoracic Surgery  Volume.
Minimally Invasive Aortic Valve Replacement via Partial Sternotomy
Dumbor L. Ngaage, MD, FRCS (C-Th), Michael E. Cowen, FRCS 
Aortic Valve Replacement Surgery: Comparison of Outcomes in Matched Sternotomy and PORT ACCESS Groups  William T. Brinkman, MD, William Hoffman, MD, Todd.
Aortic root replacement versus aortic valve replacement: a case-match study  Paul P Urbanski, MD, Matthias Wagner, MD, Michael Zacher, MD, Robert W Hacker,
Aortic root remodeling with the “cuff” technique for stentless valve implantation  Massimo Massetti, MD, Piergiorgio Bruno, MD, Gerard Babatasi, MD, Olivier.
Safety of low hematocrits during cardiopulmonary bypass
Paul Philipp Heinisch, MD, Thierry Carrel, MD 
Presentation transcript:

A special adapted retractor for the mini-sternotomy approach Massimo Massetti, MD, Gerard Babatasi, MD, PhD, Satar Bhoyroo, MD, Olivier Le Page, MD, Andre Khayat, MD  The Annals of Thoracic Surgery  Volume 68, Issue 1, Pages 274-277 (July 1999) DOI: 10.1016/S0003-4975(99)00487-7

Fig 1 (A) The SCMS retractor with its self-retaining blade for soft tissue. (B) Better exposure of the aorta and mitral annulus is accomplished, when the appropriate asymmetrical sternal blades are positioned. The Annals of Thoracic Surgery 1999 68, 274-277DOI: (10.1016/S0003-4975(99)00487-7)

Fig 2 Postoperative view of a patient who underwent aortic valve replacement, showing a small midline incision (6 cm in length). The Annals of Thoracic Surgery 1999 68, 274-277DOI: (10.1016/S0003-4975(99)00487-7)

Fig 3 The SCMS retractor with the kit “loop” (A) and its application before aortic cannulation (B) for a central cardiopulmonary bypass. The Annals of Thoracic Surgery 1999 68, 274-277DOI: (10.1016/S0003-4975(99)00487-7)