Spitaleri Antonio, Barbero Cristina, Parrella Barbara, Marchetto Giovanni, Salizzoni Stefano, La Torre Michele William, Rinaldi Mauro, Pocar Marco
Division of Cardiac Surgery, City of Health and Science (Città della Salute e della Scienza) and Department of Surgical Sciences, University of Turin, Turin, Italy.
Division of Cardiac Surgery, Scientific Institute for Research, Hospitalization, and Health Care Foundation (Fondazione IRCCS) San Gerardo dei Tintori, Monza, Italy.
Ann Thorac Surg Short Rep. 2024 May 24;2(4):779-782. doi: 10.1016/j.atssr.2024.04.030. eCollection 2024 Dec.
Current cardiac surgery has evolved to include hybrid and minimally invasive settings. In parallel, less invasive techniques have been extended to complex clinical scenarios and may prove even more beneficial in higher-risk patients. However, comorbidities and challenging anatomy still represent limitations to widespread application of this philosophy. Previously implanted filters in the inferior vena cava may limit the feasibility and safety of peripheral cannulation techniques. Successful minimally invasive operations in a hybrid setting in 2 patients with caval filters are reported.
当前的心脏手术已经发展到包括杂交手术和微创手术。与此同时，侵入性较小的技术已扩展到复杂的临床情况，并且在高危患者中可能证明更有益。然而，合并症和具有挑战性的解剖结构仍然是这种理念广泛应用的限制因素。先前植入下腔静脉的滤器可能会限制外周插管技术的可行性和安全性。本文报道了2例患有腔静脉滤器的患者在杂交手术环境下成功进行的微创手术。
