Publications by authors named "M Pocar"
Current cardiac surgery has evolved to include hybrid and minimally invasive settings. In parallel, less invasive techniques have been extended to complex clinical scenarios and may prove even more beneficial in higher-risk patients. However, comorbidities and challenging anatomy still represent limitations to widespread application of this philosophy.
View Article and Find Full Text PDFEndo-Aortic Clamp for Minimally Invasive Redo Mitral Valve Surgery: Early Outcome.
J Cardiovasc Dev Dis
November 2024
Objective: Redo mitral valve surgery still represents a challenging and high-risk procedure in cardiac surgery. The incidence of cardiac structural injuries during re-sternotomy remains consistent and is reported to be an independent risk factor for hospital mortality. Minimally invasive cardiac surgery with retrograde femoral arterial perfusion and endo-aortic clamping avoids re-entry injuries and reduces the requirement for dissection of adhesions and the risk of damage to cardiac structures.
View Article and Find Full Text PDFArticle Synopsis
- Destructive aortic prosthetic valve endocarditis has a high risk of complications that often require complex surgery, with homograft root replacement being the preferred method due to its biocompatibility.
- A study of 61 patients who had this surgery since 2010 showed a 13% mortality rate within 30 days, with specific factors like baseline AST levels and additional mitral procedures impacting survival outcomes.
- Survival rates were approximately 86% at 3 months and 70% at 3 years, indicating that while the procedure is generally successful, some patients may require reoperations, particularly if they had high AST levels or prolonged aortic cross-clamp time.