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Ann Thorac Surg 1999;67:51-58
© 1999 The Society of Thoracic Surgeons

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Original Articles

First report of the port access international registry

^a New York University Medical Center, New York, New York, USA
^b Boston University Medical Center, Boston, Massachusetts, USA
^c Duke University Medical Center, Durham, North Carolina, USA
^d Florida Hospital, Orlando, Florida, USA
^e Memorial Mission Hospital, Asheville, North Carolina, USA
^f Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA
^g Stanford University Medical Center, Stanford, California, USA

Address reprint requests to Dr Galloway, New York University Medical Center, 530 First Ave, Suite 9V, New York, NY 10016

Presented at the Poster Session of the Thirty-fourth Annual Meeting of The Society of Thoracic Surgeons, New Orleans, LA, Jan 26–28, 1998.

Background. For minimally invasive cardiac operations to be widely applicable, the risks must be equivalent to those of standard open-chest operations. This study analyzed the outcomes of patients recorded in the multicenter Port Access (PA) International Registry to establish operative risks.

Methods. Data were analyzed for intent to treat in 583 patients who underwent PA coronary artery bypass grafting (CABG), 184 who underwent PA mitral valve replacement, and 137 who underwent PA mitral valve repair at 121 centers.

Results. Port Access was attempted in 1,063 patients and completed in 1,004 (94%). The operative mortality rate was 1% for PA CABG, 3.3% for PA mitral valve replacement, and 1.5% for PA mitral valve repair. Perioperative morbidity was low in all categories: stroke = 1.1% to 3.6%, myocardial infarction = 0 to 1%, primary procedure reoperation = 0 to 0.7%, renal failure = 0.2% to 0.7%, multiorgan failure = 0 to 0.5%, and atrial fibrillation = 5% to 7.3%.

Conclusions. Data on 1,063 patients from 121 centers demonstrate that PA CABG and PA mitral valve operations can be performed safely, with morbidity and mortality rates similar to those associated with open-chest operations. Further studies are indicated to establish the long-term efficacy of this method and to analyze its effect on recovery time.

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