Surgical treatment of heart valve disease and cardiac tumors via the right-sided minithoracotomy

Evseev E.P.

Petrovsky Russian Scientific Center of Surgery

ORCID: 0000-0002-3806-9658

Balakin E.V.

Petrovsky Russian Research Center of Surgery

Aidamirov Ya.A.

Petrovsky Russian Research Center of Surgery

Fomin M.A.

Petrovsky Russian Scientific Center of Surgery

ORCID: 0000-0002-7555-3633

Ivanov V.A.

Petrovsky Russian Research Center of Surgery

Belov Yu.V.

Petrovsky National Research Center of Surgery;
Sechenov First Moscow State Medical University

SPIN RSCI: 2740-1439
Scopus AuthorID: 7101862336
ResearcherID: 7101862336
ORCID: 0000-0002-9280-8845

Surgical treatment of heart valve disease and cardiac tumors via the right-sided minithoracotomy

Authors:

Evseev E.P., Balakin E.V., Aidamirov Ya.A., Fomin M.A., Ivanov V.A., Belov Yu.V.

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Journal: Pirogov Russian Journal of Surgery. 2021;(6‑2): 37‑44

DOI: 10.17116/hirurgia202106237

Downloaded: 34

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To cite this article:

Evseev EP, Balakin EV, Aidamirov YaA, Fomin MA, Ivanov VA, Belov YuV. Surgical treatment of heart valve disease and cardiac tumors via the right-sided minithoracotomy. Pirogov Russian Journal of Surgery. 2021;(6‑2):37‑44. (In Russ.)
https://doi.org/10.17116/hirurgia202106237

Подписка 2025-2 (Pirogov Russian Journal of Surgery)

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OBJECTIVE

To evaluate the early outcomes of surgical treatment of heart valve disease and cardiac tumors via the right-sided minithoracotomy.

MATERIAL AND METHODS

There were 77 interventions via the right-sided minithoracotomy for the period from 2017 to March 2021 (29 men (37.7%) and 48 women (62.3%) aged 50.9±13 years (95% CI 48-53.9)). Heart failure NYHA class III prevailed (45.5%). The following interventions were performed: mitral valve replacement — 32 (41.5%) patients, mitral valve repair — 22 (28.6%) patients, atrial septal defect closure — 13 (16.9%) patients, resection of the left atrial myxoma — 4 (5.2%) patients, atrial septal defect closure + tricuspid valve repair — 2 (2.6%) patients, tricuspid valve replacement — 2 (2.6%) patients, mitral valve repair + atrial septal defect closure — 1 (2.6%) patient, mitral valve repair + atrial septal defect closure + right middle lobectomy — 1 (2.6%) patient.

RESULTS

There were no in-hospital mortality and major cardiac events. Conversion was required in 1 case (1.3%). Enlargement up conventional to thoracotomy was required in 1 case (1.3%). Surgery time was 217 min (Q1-Q3 188-258), cardiopulmonary bypass time — 106 min (Q1-Q3 91-124), aortic cross-clamping time — 82±29 min (95% CI 76-89). Intraoperative blood loss was 500 ml (Q1-Q3 400-600). Mean postoperative hospital-stay was 6.7±1.8 days (95% CI 6.3-7.1).

CONCLUSION

Heart valve surgery and resection of cardiac tumors via the right-sided minithoracotomy is a safe and effective approach to ensure chest stability, fast postoperative recovery and favorable cosmetic result. Surgery time is decreased along the learning curve.

Keywords:

heart valve disease

minithoracotomy

mitral valve

tricuspid valve

myxoma

atrial septal defect

Authors:

Evseev E.P.

Petrovsky Russian Scientific Center of Surgery

ORCID: 0000-0002-3806-9658

Balakin E.V.

Petrovsky Russian Research Center of Surgery

Aidamirov Ya.A.

Petrovsky Russian Research Center of Surgery

Fomin M.A.

Petrovsky Russian Scientific Center of Surgery

ORCID: 0000-0002-7555-3633

Ivanov V.A.

Petrovsky Russian Research Center of Surgery

Belov Yu.V.

Petrovsky National Research Center of Surgery;
Sechenov First Moscow State Medical University

SPIN RSCI: 2740-1439
Scopus AuthorID: 7101862336
ResearcherID: 7101862336
ORCID: 0000-0002-9280-8845

Received:

08.04.2021

Accepted:

10.05.2021

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