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Totally Endoscopic Constrictive Pericarditis Treatment: A Case Series
Michele Gallo1, Giovanni Domenico Cresce1, Alessandro Favaro
1Division of Cardiac Surgery, San Bortolo Hospital, Vicenza, Italy.
Innovations (Philadelphia, Pa.)
|February 10, 2023
Summary
Minimally invasive cardiac surgery offers reduced morbidity. This case series details anterior pericardiectomy using totally endoscopic techniques and peripheral cannulation for heart access.
Area of Science:
- Cardiovascular Surgery
- Minimally Invasive Techniques
- Surgical Innovation
Background:
- Open heart surgery carries significant morbidity.
- Minimally invasive cardiac surgery (MICS) is gaining traction as a safer alternative.
- Advancements in endoscopic techniques are crucial for expanding MICS applications.
Purpose of the Study:
- To present a case series of totally endoscopic anterior pericardiectomy.
- To demonstrate the feasibility of using peripheral femoral cannulation for MICS.
- To detail the surgical access methods for male and female patients.
Main Methods:
- Anterior pericardiectomy was performed using a totally endoscopic approach.
- Peripheral femoral artery and vein cannulation were employed for cardiopulmonary bypass.
- Access to the heart was achieved via the fourth intercostal space using right periareolar (male) and right submammary (female) incisions.
Main Results:
- The study presents a case series of patients undergoing this novel procedure.
- The described technique allows for endoscopic access and cardiac manipulation.
- Specific incisions were utilized based on patient sex for optimal aesthetic and surgical outcomes.
Conclusions:
- Totally endoscopic anterior pericardiectomy is feasible using peripheral femoral cannulation.
- This approach represents a less invasive alternative to traditional open-chest procedures.
- Further research may explore the broader application of these endoscopic techniques in cardiac surgery.
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