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Chapter 12 - Minimally Invasive and Off-Pump Cardiac Surgery

from Section 2 - Anaesthesia for Specific Procedures

Published online by Cambridge University Press:  12 May 2020

Joseph Arrowsmith
Affiliation:
Royal Papworth Hospital, Cambridge
Andrew Roscoe
Affiliation:
Singapore General Hospital
Jonathan Mackay
Affiliation:
Royal Papworth Hospital, Cambridge
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Summary

Cardiac surgery is a major insult to homeostasis. Attempts have been made to reduce the inflammatory response to cardiac surgery by limiting the stimulus. The two biggest stimuli to this inflammation are thought to be surgical tissue destruction and the interaction with the extracorporeal circuit. Therefore, techniques have been developed to reduce these stimuli – either by minimizing them (minimally invasive surgery) or eliminating them completely (off-pump surgery).

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Publisher: Cambridge University Press
Print publication year: 2020

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References

Lamy, A, Devereaux, PJ, Prabhakaran, D, et al. Five-year outcomes after off-pump or on-pump coronary-artery bypass grafting. N Engl J Med 2016; 375: 2359–68.CrossRefGoogle ScholarPubMed
Moscarelli, M, Terrasini, N, Nunziata, A, et al. A trial of two anesthetic regimes for minimally invasive mitral valve repair. J Cardiothorac Vasc Anesth 2018; 32: 2562–9.CrossRefGoogle ScholarPubMed
Shroyer, AL, Hattler, B, Wagner, TH, et al. Five-year outcomes after on-pump and off-pump coronary-artery bypass. N Engl J Med 2017; 377: 623–32.CrossRefGoogle ScholarPubMed
Vohra, HA, Vaja, R, Iakovakis, I, et al. Starting out in minimally invasive aortic valve replacement in the UK. Interact Cardiovasc Thorac Surg 2016; 22: 14.CrossRefGoogle ScholarPubMed

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