Skip to main content
  • 129k Accesses

Abstract

To date, more and more cardiac surgeons are moving toward smaller incisions and the use of specialized less invasive surgical methodologies. The use of (and advances in) less invasive approaches or minimally invasive cardiac surgery can minimize or eliminate complications that may occur in conventional cardiac surgery. For example, for some surgeons, partial sternotomy and minithoracotomy have supplanted standard sternotomy as their preferred route for aortic valve and mitral surgeries.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 99.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 129.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 159.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Grace PA, Quereshi A, Coleman J et al (1991) Reduced postoperative hospitalization after laparoscopic cholecystectomy. Br J Surg 78:160–162

    Article  CAS  PubMed  Google Scholar 

  2. Southern Surgeons Club (1991) A prospective analysis of 1518 laparoscopic cholecystectomies. N Engl J Med 324:1073–1078

    Google Scholar 

  3. Bruce DM, Smith M, Walker CBJ et al (1999) Minimal access surgery for cholelithiasis induces an attenuated acute phase response. Am J Surg 178:232–234

    Article  CAS  PubMed  Google Scholar 

  4. Szwerc MF, Benchart DH, Wiechmann RJ et al (1999) Partial versus full sternotomy for aortic valve replacement. Ann Thorac Surg 68:2209–2214

    Article  CAS  PubMed  Google Scholar 

  5. Cosgrove DM, Sabik JF, Navia JL (1998) Minimally invasive valve operations. Ann Thorac Surg 65:1535–1539

    Article  PubMed  Google Scholar 

  6. Svensson LG (2007) Minimally invasive surgery with a partial sternotomy “J” approach. Semin Thorac Cardiovasc Surg 19:299–303

    Article  PubMed  Google Scholar 

  7. Bakir I, Casselman FP, Wellens F et al (2006) Minimally invasive versus standard approach aortic valve replacement: a study in 506 patients. Ann Thorac Surg 81:1599–1604

    Article  PubMed  Google Scholar 

  8. Zilla P, Fasol R, Groscurth P et al (1989) Blood platelets in cardiopulmonary bypass operations. J Thorac Cardiovasc Surg 97:379

    CAS  PubMed  Google Scholar 

  9. Ko W, Hawes AS, Lazenby WD et al (1991) Myocardial reperfusion injury. J Thorac Cardiovasc Surg 102:297

    CAS  PubMed  Google Scholar 

  10. Sladen RN, Berkowity DE (1993) Cardiopulmonary bypass and the lung. In: Graylee GP, David RF, Utley JR (eds) Cardiopulmonary bypass. William & Wilkins, Baltimore, p 468

    Google Scholar 

  11. Tuman KJ, McCarthy RJ, Najafi H et al (1992) Differential effects of advanced age on neurologic and cardiac risks of coronary artery operations. J Thorac Cardiovasc Surg 104:1510

    CAS  PubMed  Google Scholar 

  12. Abel RM, Buckley MJ, Austen WG et al (1976) Etiology, incidence and prognosis of renal failure following cardiac operations: results of a prospective analysis of 500 consecutive patients. J Thorac Cardiovasc Surg 65:32

    Google Scholar 

  13. Castillo FC, Harringer W, Warshaw AL et al (1991) Risk factors for pancreatic cellular injury after cardiopulmonary bypass. N Engl J Med 325:382

    Article  Google Scholar 

  14. Cleveland JC, Shroyer AJ, Chen AY et al (2001) Off-pump coronary artery bypass grafting decrease risk-adjusted mortality and morbidity. Ann Thorac Surg 72:1282–1289

    Article  PubMed  Google Scholar 

  15. Ascione R, Lloyd CT, Underwood MJ et al (2000) Inflammatory response after coronary revascularization with or without cardiopulmonary bypass. Ann Thorac Surg 69:1198–1204

    Article  CAS  PubMed  Google Scholar 

  16. Diegeler A, Doll N, Rauch T et al (2000) Humoral immune response during coronary artery bypass grafting: a comparison of limited approach, “off-pump” technique, and conventional cardiopulmonary bypass. Circulation 102:III95–III100

    Article  CAS  PubMed  Google Scholar 

  17. Reston JT, Tregear SJ, Turkelson CM (2003) Meta-analysis of short-term and mid-term outcomes following off-pump coronary artery bypass grafting. Ann Thorac Surg 76:1510–1515

    Article  PubMed  Google Scholar 

  18. Edgerton JR, Dewey TM, Magee MJ et al (2003) Conversion in off-pump coronary artery bypass grafting: an analysis of predictors and outcomes. Ann Thorac Surg 76:1138–1142

    Article  PubMed  Google Scholar 

  19. Stump DA, Newman SP (1996) Embolic detection during cardiopulmonary bypass. In: Tegler CH, Babikian VL, Gomez CR (eds) Neurosonology. Mosby, St. Louis, pp 252–255

    Google Scholar 

  20. Goto T, Baba T, Matsuyama K et al (2003) Aortic atherosclerosis and postoperative neurological dysfunction in elderly coronary surgical patients. Ann Thorac Surg 75:1912–1918

    Article  PubMed  Google Scholar 

  21. Tsang JC, Morin JF, Tchervenkov CI et al (2003) Single aortic clamp versus partial occluding clamp technique for cerebral protection during coronary artery bypass: a randomized prospective trial. J Card Surg 18:158–163

    Article  PubMed  Google Scholar 

  22. Matschke KE, Gummert JF, Demertzis S et al (2005) The Cardica C-Port System: clinical and angiographic evaluation of a new device for automated, compliant distal anastomoses in coronary artery bypass grafting surgery—a multicenter prospective clinical trial. J Thorac Cardiovasc Surg 130:1645–1652

    Article  PubMed  Google Scholar 

  23. Poston RS, Griffith B, Bartlett (2008) Superior financial and quality metrics with robotic-assisted coronary artery revascularization (abstract), presented at the 128th annual American Surgical Association, New York, 26 April 2008

    Google Scholar 

  24. Woo YJ, Nacke EA (2006) Robotic minimally invasive mitral valve reconstruction yields less blood product transfusion and short length of stay. Surgery 140:262–267

    Article  Google Scholar 

  25. Liao K (2008) Surgical implantation of left ventricular epicardial pacing leads for cardiac resynchronization therapy. In: Lu F, Benditt D (eds) Cardiac pacing and defibrillation–principle and practice. People’s Medical Publishing House, Beijing

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Kenneth K. Liao MD .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2015 Springer International Publishing Switzerland

About this chapter

Cite this chapter

Liao, K.K. (2015). Less Invasive Cardiac Surgery. In: Iaizzo, P. (eds) Handbook of Cardiac Anatomy, Physiology, and Devices. Springer, Cham. https://doi.org/10.1007/978-3-319-19464-6_35

Download citation

Publish with us

Policies and ethics