A. KURMALAYEV1, E. KUATBAYEV1, LUDWIG MULLER2, YURI PYA1
1National Research Center for Cardiac Surgery, Astana с., Republic of Kazakhstan
2Университетская клиника, г. Инсбург, Австрия
HISTORY OF MINIMALLY INVASIVE MITRAL VALVE SURGERY DEVELOPMENT
Over the past decades, operations using mini-invasive access have been firmly established in the practice of many cardiosurgical clinics around the world. In some clinics, this type of intervention accounts for 65% of the total number of operations. Incorrectly selected access is the reason for the conversion of the section, which to some extent discredits this technique and refusing to use it in practice.
The variety of existing accesses requires clear indications and contraindications to their choice. However, there is no unified opinion on this issue in the contemporary literature. Thus, the development of an algorithm for selecting access in operations from mini-accesses can lead to an improvement in the quality of cardiac surgical care.
This article presents literature data on existing accesses in valvular operations and presents in-depth studies reporting that, benefits of minimal invasive mitral valve surgery, there are advantages a decrease in injury rate of operations, postoperative complications, shorting periods of staying in hospitals, a good cosmetic effect.
Key words: mini-invasive access, mitral valve.