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Updated: May 31, 2026

Semi-Minimal Invasive Method to Induce Myocardial Infarction in Rats and the Assessment of Cardiac Function by an Isolated Working Heart System

Semi-Minimal Invasive Method to Induce Myocardial Infarction in Rats and the Assessment of Cardiac Function by an Isolated Working Heart System

Published on: June 11, 2020

[Anesthesia for minimally invasive cardiac procedure].

C Saroul¹, G Keller, M Benaissa

¹Hôpital Cardio-Vasculaire et Pneumologique Louis Pradel - Groupement Hospitalier Est, 59 Boulevard Pinel, 69677 Bron cedex, France.

Annales Francaises D'Anesthesie Et De Reanimation

|June 28, 2011

Summary

Minimally invasive cardiac surgery, including transcatheter aortic valve implantation (TAVI) and MitraClip, requires specialized anesthetic techniques. Patient selection and multidisciplinary care are crucial for managing complex cases and potential complications.

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Semi-Minimal Invasive Method to Induce Myocardial Infarction in Rats and the Assessment of Cardiac Function by an Isolated Working Heart System

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Area of Science:

Cardiology
Anesthesiology
Cardiac Surgery

Background:

Minimally invasive cardiac surgery techniques are evolving.
Anesthetic management differs significantly between procedures like mitral valve repair, TAVI, and MitraClip.

Purpose of the Study:

To present minimally invasive cardiac surgery techniques (TAVI, MitraClip) and their anesthetic implications.
To retrospectively evaluate anesthetic methods, monitoring changes, and patient selection criteria.

Main Methods:

Review of anesthetic techniques for mitral valve repair via minithoracotomy and video-surgery.
Analysis of anesthetic approaches for TAVI and MitraClip procedures.
Evaluation of patient selection based on Euroscore and STS score.

Main Results:

Mitral valve repair requires selective left intubation and transesophageal echocardiography (TEE) monitoring.
TAVI often utilizes local anesthesia and sedation with hemodynamic and neurologic monitoring.
MitraClip necessitates extensive perioperative monitoring; TAVI care demands cardiac surgery-level anesthesiology expertise.

Conclusions:

Increasingly, procedures are performed under sedation, requiring multidisciplinary care for patients with high comorbidity scores (Euroscore >20%, STS >10%).
Femoral access is common for TAVI (80%), with subsclavian access (17%); local anesthesia with sedation is prevalent (80%).
Transapical access with general anesthesia is an alternative for TAVI when femoral access is not feasible.