Minimally invasive cardiac surgery by the port-access method

Area of Science:

• Cardiovascular Surgery
• Minimally Invasive Techniques
• Medical Device Technology

Background:

• Minimally invasive surgery is gaining importance in cardiac surgery.
• Key goals include reduced hospital stay, faster recovery, and improved cosmetic outcomes.
• Technological advancements are crucial for the success of these procedures.

Purpose of the Study:

• To describe the experience and assess the quality of port-access cardiac surgery.
• To introduce novel devices supporting minimally invasive cardiac procedures.
• To evaluate the safety and efficacy of new surgical tools.

Main Methods:

• Development and application of a direct endoaortic clamp balloon (Yozu balloon) for cardioplegia delivery and venting.
• Modification of the Cosgrove flex clamp for transthoracic application through small incisions.
• Utilizing an 8 mm port for secure aortic clamping during minimally invasive procedures.

Main Results:

• The Yozu balloon allows direct insertion into the ascending aorta for cardioplegic solution delivery and venting.
• The modified Cosgrove flex clamp enables safe and secure aortic clamping via a small port.
• These innovations support the feasibility of port-access cardiac surgery.

Conclusions:

• Port-access cardiac surgery is a developing and promising approach in cardiac operations.
• The introduced technologies enhance the safety and effectiveness of minimally invasive cardiac procedures.
• Future technological progress is expected to drive the wider adoption of this surgical method.