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10.5606/tgkdc.dergisi.2017.13687
Endoscopic atrioventricular valve surgery in extreme obesity
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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