Minimally invasive autopericardial neocuspidization with thoracoscopic harvesting of the pericardium

Komarov RN, Ognev OO, Ismailbaev AM, et al. . Minimally invasive autopericardial neocuspidization with thoracoscopic harvesting of the pericardium. Russian Cardiology Bulletin. 2023;18(2):43‑49. (In Russ.)
https://doi.org/10.17116/Cardiobulletin20231802143

Подписка 2026 Кардиологический вестник (Russian Cardiology Bulletin)

Использование инфографики авторами научных работ

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OBJECTIVE

To evaluate perioperative results of minimally invasive autopericardial neocuspidization with thoracoscopic harvesting of the pericardium.

MATERIAL AND METHODS

We retrospectively analyzed 64 patients in 2 groups (group I (n=20) — autopericardial neocuspidization via partial J-sternotomy with thoracoscopic harvesting of the pericardium, group II (n=44) — classical autopericardial neocuspidization). Comorbidities were similar. Thoracoscopic harvesting of the pericardium was performed under cardiopulmonary bypass.

RESULTS

Time of cardiopulmonary bypass and aortic cross-clamping was significantly higher in the 1^st group (175.5±11.6 and 102.5±7.8 vs. 114.4±40.6 and 84.4±19.9 min, respectively (p>0.001 and p>0.001)). Blood loss was significantly lower in the first group (576±114.7 vs. 763.6±446.7 ml, p=0.027). Mortality was similar (p=0.846). Duration of postoperative ventilation was significantly less in the first group (2.8±2.3 vs. 5.2±3.9 hours, p>0.001). VAS score of pain syndrome was lower in the 1^st group (p>0.001). Postoperative hospital-stay was lower in the same group (7.1±3 vs. 13.9±5.5 days, p>0.001). Hemodynamic transvalvular parameters were similar in both groups.

CONCLUSION

Minimally invasive autopericardial neocuspidization with thoracoscopic harvesting of the pericardium is safe and effective. Minimally invasive access is associated with lower intraoperative blood loss, duration of ventilation and hospital-stay, intensity of pain syndrome.

Keywords:

minimally invasive access

thoracoscopy

autopericardial neocuspidization

Authors:

Komarov R.N.

Sechenov First Moscow State Medical University

ORCID: 0000-0002-3904-6415

Ognev O.O.

Sechenov First Moscow State Medical University

ORCID: 0000-0002-9305-2250

Ismailbaev A.M.

Sechenov First Moscow State Medical University

ORCID: 0000-0001-8545-3276

Chernyavsky S.V.

Sechenov First Moscow State Medical University

ORCID: 0000-0002-1564-9182

Dzyundzia A.N.

Sechenov First Moscow State Medical University

ORCID: 0000-0003-1133-8106

Kurasov N.O.

Sechenov First Moscow State Medical University

ORCID: 0000-0001-6269-2207

Tlisov B.M.

Sechenov First Moscow State Medical University

ORCID: 0000-0003-4094-8771

Danachev A.O.

Sechenov First Moscow State Medical University

ORCID: 0000-0001-9296-3119

Received:

17.01.2023

Accepted:

08.02.2023

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