[Video-assisted minimally invasive cardiac surgery for XXXX : a report of 57 cases].

@entity1 @entity712 @entity1031 @entity1576 @entity955 @entity204
OBJECTIVE: To evaluate the feasibility and the efficacy of a new video-assisted minimally invasive surgery for @entity1 with @entity955 ( @entity955 ). METHODS: From December 2006 to October 2007, 57 @entity1 who were 56.4 years old in average underwent the video-assisted minimally invasive cardiac operation for @entity955 , and there were 40 male @entity1 . Thirty-eight @entity1 were @entity955 , 7 @entity1 were persistent and 12 @entity1 were long-standing persistent. Three @entity1 had failed catheter ablation, and two @entity1 had preoperative permanent pacemaker implantation. All @entity1 went under the minimally invasive procedure. Intraoperative electrophysiological mapping were performed. RESULTS: Mean operation time was 3.5 h. One @entity1 was confirmed of left auricle thrombus, and one received concurrent epicardial cardiac resynchronization therapy during the procedure. There were no perioperative @entity204 . Acute @entity1576 occurred in 1 @entity1 and @entity712 in 1 @entity1 after operation. Sixteen @entity1 had electrical cardioversion after operation and during follow-up. At discharge, 78.9% (45/57) of all @entity1 were in sinus rhythm (84.2% for @entity955 , 71.4% for persistent @entity955 , 66.7% for long-standing persistent @entity955 ). The @entity1 were followed-up by 1 to 10 months. At 1 month after operation, overall 64.3% (36/56) were in sinus rhythm (67.6% for @entity955 , 57.1% for persistent @entity955 , 58.3% for long-standing persistent @entity955 ). At 3 months, overall 83.9% (47/56) were in sinus rhythm (86.5% for @entity955 , 85.7% for persistent @entity955 , 75.0% for long-standing persistent @entity955 ). At > or = 6 months, overall 87.0% (20/23) were in sinus rhythm (89.5% for @entity955 , 75.0% for persistent @entity955 ). No @entity1031 event was observed during follow-up period. CONCLUSION: The video-assisted minimally invasive cardiac surgery proves to be safe, less traumatic, and presents optimistic early outcomes for @entity955 @entity1 .
