Endoscopic atrioventricular valve surgery in extreme obesity

doi:10.5606/tgkdc.dergisi.2017.13687

Johan Van der Merwe, Filip Casselman, Bernard Stockman, Yvette Vermeulen, Ivan Degrieck, Frank Van Praet

OLV-Clinic, Cardiovascular- and Thoracic Surgery, Aalst, Belgium

DOI : 10.5606/tgkdc.dergisi.2017.13687

Obesity is one of the greatest public health challenges of the 21st century and worldwide incidence of extreme obese patients is increasing. Sternal dehiscence and wound infections are amongst the devastating morbidities associated with classic sternotomy in these patients. The perceived technical challenges, in-hospital morbidity and increased mortality risks often deter surgeons from offering these patients the option and benefits of minimally invasive approaches. This case series presents our perioperative and long-term clinical and echocardiographic outcomes of endoscopic port access atrioventricular valve surgery in seven consecutive patients with body mass indexes above 40, operated by our current surgical team.

Keywords : Extreme obesity; minimally invasive cardiac surgery; mitral and tricuspid valve disease; outcome

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