title: Orthotopic heart transplantation through minimally invasive approach.
abstract: Minimal access approaches are a trend in cardiothoracic surgery. Gained experience in these minimally invasive techniques have allowed its application to more complicated procedures, such as heart transplantation. Both classic and bicaval techniques of cardiac transplant were performed through a partial lower sternotomy in 10 end-stage heart failure patients with no previous cardiac surgery. The procedure was considered safe with adequate exposure, minimal postoperative pain medication requirements, acceptable operative times, and good long-term outcome.
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, The Cleveland Clinic Foundation, 9500 Euclid Avenue/F24, Cleveland, OH 44195, USA. naviaj@ccf.org
authors.forename: Jose L
authors.initials: JL
authors.lastname: Navia
authors.forename: Eric E
authors.initials: EE
authors.lastname: Roselli
authors.forename: Fernando A
authors.initials: FA
authors.lastname: Atik
authors.forename: Gonzalo V
authors.initials: GV
authors.lastname: Gonzalez-Stawinski
authors.forename: Nicholas G
authors.initials: NG
authors.lastname: Smedira
mesh_terms: D000328:Adult; D000368:Aged; D000701:Analgesics, Opioid / Q000627:therapeutic use; D005260:Female; D005500:Follow-Up Studies; D006333:Heart Failure / Q000209:etiology / Q000601:surgery*; D016027:Heart Transplantation / Q000009:adverse effects / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures; D010147:Pain Measurement; D010149:Postoperative Pain / Q000188:drug therapy / Q000209:etiology; D013249:Sternum / Q000601:surgery; D013997:Time Factors; D016896:Treatment Outcome
chemical_list: D000701:Analgesics, Opioid