. . "minithoracotomy; video-assisted approach; minimally invasive cardiac surgery"@en . . "Volt, Martin" . "5"^^ . "Miniinvazivn\u00ED videoasistovan\u00E9 operace srde\u010Dn\u00EDch vad" . "I" . . . "11150" . "88460" . "Minimally invasive video-assisted operations for heart disease"@en . "Minimally invasive video-assisted operations for heart disease"@en . "7"^^ . "Samek, Jind\u0159ich" . "Voj\u00E1\u010Dek, Jan" . "92" . "Introduction: Minimally invasive surgical access for the treatment of mitral and tricuspid valves has become an alternative method to the conventional approach via median sternotomy. The aim of this paper is to evaluate our experience and results with minimally invasive approach in cardiac surgery at our institution. Material and methods: A total of 52 patients underwent minimally invasive cardiac surgery between November 2011 and March 2013. Right lateral minithoracotomy and femoral vessels cannulation for cardiopulmonary bypass was used. Follow-up data was collected in a prospective database and analysed retrospectively. Results: The mean age of patients was 60.9 +- 11.6 years (female patients accounted for 63.5%). The procedures performed included mitral valve repair in 44 (85%) patients and tricuspid valve repair in 25 (48%). Atrial septal defect closure was performed in 8 (15%) patients and cryoablation of atrial fibrillation in 26 (50%) patients. There were 75% combined procedures. The median duration of the operation was 235 (155-315) minutes. The median length of cardiopulmonary bypass and crossclamp time was 139 (89-225) and 92 (51-168) minutes, respectively. The median duration of postoperative hospital stay was 12.5 (6-34) days. Hospital and 30-day mortality was 0%. At follow-up (121.3 +- 32.72 days), two patients (3.8%) required reoperation (1 for right haemothorax, 1 for aortic valve insufficiency). Conclusion: Minimally invasive access has been adopted as a routine method for the therapy of valve disease. The minithoracotomy approach is a safe and feasible technique with comparable mortality and in-hospital morbidity."@en . . "RIV/00216208:11150/13:10173386" . . "Miniinvazivn\u00ED videoasistovan\u00E9 operace srde\u010Dn\u00EDch vad"@cs . . . "[A57CA290E842]" . "Rozhledy v chirurgii" . "\u00DAvod: Miniinvazivn\u00ED videoasistovan\u00FD p\u0159\u00EDstup v chirurgick\u00E9 l\u00E9\u010Db\u011B n\u011Bkter\u00FDch srde\u010Dn\u00EDch vad p\u0159edstavuje alternativu klasick\u00E9ho p\u0159\u00EDstupu ze sternotomie. C\u00EDlem pr\u00E1ce je zhodnotit zku\u0161enosti a v\u00FDsledky s miniinvazivn\u00EDm chirurgick\u00FDm p\u0159\u00EDstupem v kardiocentru Hradec Kr\u00E1lov\u00E9. Materi\u00E1l a metodika: V obdob\u00ED listopad 2011 a\u017E b\u0159ezen 2013 bylo na Kardiochirurgick\u00E9 klinice v Hradci Kr\u00E1lov\u00E9 odoperov\u00E1no celkem 52 nemocn\u00FDch videoasistovan\u00FDm p\u0159\u00EDstupem z pravostrann\u00E9 minitorakotomie. Kanyly mimot\u011Bln\u00EDho ob\u011Bhu byly zavedeny cestou femor\u00E1ln\u00EDch c\u00E9v. V\u00FDsledky: Pr\u016Fm\u011Brn\u00FD v\u011Bk nemocn\u00FDch v souboru byl 60,9 +- 11,6 roku (\u017Eeny 63,5 %). U 44 (85 %) nemocn\u00FDch byla provedena plastika mitr\u00E1ln\u00ED chlopn\u011B, u 25 (48 %) plastika trikuspid\u00E1ln\u00ED chlopn\u011B. Uz\u00E1v\u011Br defektu septa s\u00EDn\u00ED byl proveden u 8 (15 %) nemocn\u00FDch. Konkomitantn\u00ED MAZE procedura pomoc\u00ED kryoenergie byla provedena u 26 nemocn\u00FDch (50 %). Kombinovan\u00FDch v\u00FDkon\u016F bylo 39 (75 %). St\u0159edn\u00ED d\u00E9lka operace byla 235 minut (155-315), d\u00E9lka mimot\u011Bln\u00EDho ob\u011Bhu 139 minut (89-225) a d\u00E9lka srde\u010Dn\u00ED z\u00E1stavy 92 minut (51-168). St\u0159edn\u00ED d\u00E9lka poopera\u010Dn\u00ED hospitalizace byla 12,5 dne (6-34). \u010Casn\u00E1 revize pro krv\u00E1cen\u00ED byla provedena u 1 nemocn\u00E9ho (2 %). C\u00E9vn\u00ED mozkov\u00E1 p\u0159\u00EDhoda nebo tranzitorn\u00ED ischemick\u00E1 ataka byla zaznamen\u00E1na u 2 nemocn\u00FDch (3,8 %). V na\u0161em souboru byla 30denn\u00ED mortalita 0 %. Pr\u016Fm\u011Brn\u00E1 d\u00E9lka follow-up je 121,3 +- 32,72 dne. Reoperace byla provedena u 2 nemocn\u00FDch (3,8 %) (1kr\u00E1t hemotorax, 1kr\u00E1t aort\u00E1ln\u00ED vada). Z\u00E1v\u011Br: Miniinvazivn\u00ED p\u0159\u00EDstup z pravostrann\u00E9 minitorakotomie p\u0159edstavuje bezpe\u010Dn\u00FD p\u0159\u00EDstup s reprodukovateln\u00FDmi v\u00FDsledky. Na\u0161e v\u00FDsledky jsou srovnateln\u00E9 s \u00FAdaji publikovan\u00FDmi v zahrani\u010Dn\u00ED literatu\u0159e." . "Turek, Zden\u011Bk" . . "RIV/00216208:11150/13:10173386!RIV14-MSM-11150___" . "Miniinvazivn\u00ED videoasistovan\u00E9 operace srde\u010Dn\u00EDch vad"@cs . . . "CZ - \u010Cesk\u00E1 republika" . . "Miniinvazivn\u00ED videoasistovan\u00E9 operace srde\u010Dn\u00EDch vad" . "Harrer, Jan" . "Omran, Nedal" . . . "\u00DAvod: Miniinvazivn\u00ED videoasistovan\u00FD p\u0159\u00EDstup v chirurgick\u00E9 l\u00E9\u010Db\u011B n\u011Bkter\u00FDch srde\u010Dn\u00EDch vad p\u0159edstavuje alternativu klasick\u00E9ho p\u0159\u00EDstupu ze sternotomie. C\u00EDlem pr\u00E1ce je zhodnotit zku\u0161enosti a v\u00FDsledky s miniinvazivn\u00EDm chirurgick\u00FDm p\u0159\u00EDstupem v kardiocentru Hradec Kr\u00E1lov\u00E9. Materi\u00E1l a metodika: V obdob\u00ED listopad 2011 a\u017E b\u0159ezen 2013 bylo na Kardiochirurgick\u00E9 klinice v Hradci Kr\u00E1lov\u00E9 odoperov\u00E1no celkem 52 nemocn\u00FDch videoasistovan\u00FDm p\u0159\u00EDstupem z pravostrann\u00E9 minitorakotomie. Kanyly mimot\u011Bln\u00EDho ob\u011Bhu byly zavedeny cestou femor\u00E1ln\u00EDch c\u00E9v. V\u00FDsledky: Pr\u016Fm\u011Brn\u00FD v\u011Bk nemocn\u00FDch v souboru byl 60,9 +- 11,6 roku (\u017Eeny 63,5 %). U 44 (85 %) nemocn\u00FDch byla provedena plastika mitr\u00E1ln\u00ED chlopn\u011B, u 25 (48 %) plastika trikuspid\u00E1ln\u00ED chlopn\u011B. Uz\u00E1v\u011Br defektu septa s\u00EDn\u00ED byl proveden u 8 (15 %) nemocn\u00FDch. Konkomitantn\u00ED MAZE procedura pomoc\u00ED kryoenergie byla provedena u 26 nemocn\u00FDch (50 %). Kombinovan\u00FDch v\u00FDkon\u016F bylo 39 (75 %). St\u0159edn\u00ED d\u00E9lka operace byla 235 minut (155-315), d\u00E9lka mimot\u011Bln\u00EDho ob\u011Bhu 139 minut (89-225) a d\u00E9lka srde\u010Dn\u00ED z\u00E1stavy 92 minut (51-168). St\u0159edn\u00ED d\u00E9lka poopera\u010Dn\u00ED hospitalizace byla 12,5 dne (6-34). \u010Casn\u00E1 revize pro krv\u00E1cen\u00ED byla provedena u 1 nemocn\u00E9ho (2 %). C\u00E9vn\u00ED mozkov\u00E1 p\u0159\u00EDhoda nebo tranzitorn\u00ED ischemick\u00E1 ataka byla zaznamen\u00E1na u 2 nemocn\u00FDch (3,8 %). V na\u0161em souboru byla 30denn\u00ED mortalita 0 %. Pr\u016Fm\u011Brn\u00E1 d\u00E9lka follow-up je 121,3 +- 32,72 dne. Reoperace byla provedena u 2 nemocn\u00FDch (3,8 %) (1kr\u00E1t hemotorax, 1kr\u00E1t aort\u00E1ln\u00ED vada). Z\u00E1v\u011Br: Miniinvazivn\u00ED p\u0159\u00EDstup z pravostrann\u00E9 minitorakotomie p\u0159edstavuje bezpe\u010Dn\u00FD p\u0159\u00EDstup s reprodukovateln\u00FDmi v\u00FDsledky. Na\u0161e v\u00FDsledky jsou srovnateln\u00E9 s \u00FAdaji publikovan\u00FDmi v zahrani\u010Dn\u00ED literatu\u0159e."@cs . . . "11" . . . "0035-9351" . "Pojar, Marek" . "6"^^ .