Hospital Regional Hans Dieter Schmidt, Joinville, Santa Catarina, Brazil.
Braz J Cardiovasc Surg. 2024 Oct 22;e20230324(e20230324):e20230324. doi: 10.21470/1678-9741-2023-0324.
Surgical interventions on the pulmonary valve in adults have been increasing over the years, as patients with congenital heart diseases are experiencing extended lifespans. Reoperations involving multiple sternotomies exhibit elevated morbidity and mortality rates. With nearly two decades of experience in minimally invasive video-assisted mitral valve surgery, we have chosen the left anterior minithoracotomy approach for addressing the pulmonary valve and right ventricular outflow tract in adult patients. The technique demonstrates safety based on initial outcomes, minimizing potential complications from multiple cardiac reapproaches. Our series of five patients demonstrated an absence of postoperative complications or mortality.
近年来，随着先天性心脏病患者寿命的延长，成年人的肺脏瓣膜手术干预也在不断增加。涉及多次胸骨切开术的再次手术显示出较高的发病率和死亡率。我们在微创视频辅助二尖瓣手术方面拥有近二十年的经验，因此选择左前小开胸术来治疗成年患者的肺脏瓣膜和右心室流出道。该技术基于初始结果显示出安全性，最大限度地减少了多次心脏再介入的潜在并发症。我们的五名患者系列中均未出现术后并发症或死亡。
