Abstract
This review article addresses surgical approaches in the treatment of heart diseases, highlighting recent advancements and implications for clinical practice. The introduction emphasizes the importance of the topic, given the prevalence of heart diseases and the associated treatment challenges. The methodology included a systematic search in scientific databases, using specific key terms and rigorous inclusion and exclusion criteria. The results are synthesized into topics covering myocardial revascularization surgery, cardiac valve replacement and repair, surgery for arrhythmias, and advancements in minimally invasive techniques. Each topic discusses the efficacy, safety, and clinical outcomes associated with these approaches. The discussion highlights the importance of individualized assessment and considers limitations and recommendations for future research. The conclusion summarizes the findings, highlighting the ongoing evolution of cardiac surgery and the need for integrated and innovative therapeutic approaches. This study provides a comprehensive and updated overview of surgical techniques in the treatment of heart diseases, contributing to clinical practice and research in the field.
References
Alexander, J.H.; Wojdyla, D.; Vora, A.N.; Thomas, L.; et al. "Rivaroxaban with or without Aspirin in Patients with Stable Coronary Artery Disease: An International, Randomised, Double-blind, Placebo-controlled Trial." Lancet, vol. 391, no. 10117, 2018, pp. 205-218.
Al-Khatib, S.M.; Stevenson, W.G.; Ackerman, M.J.; et al. "2017 AHA/ACC/HRS Guideline for Management of Patients With Ventricular Arrhythmias and the Prevention of Sudden Cardiac Death." Circulation, vol. 138, no. 13, 2018, pp. e272-e391.
Bunch, T.J.; May, H.T.; Bair, T.L.; et al. "The Impact of Ablation for Atrial Fibrillation on Heart Failure Hospitalization and Mortality: Long-term Follow-up of 52,055 Patients." Journal of the American College of Cardiology, vol. 75, no. 7, 2020, pp. 785-793.
Falk, V.; Baumgartner, H.; Bax, J.J.; et al. "2017 ESC/EACTS Guidelines for the Management of Valvular Heart Disease." Journal of Thoracic and Cardiovascular Surgery, vol. 154, no. 5, 2019, pp. e1-e132.
Gammie, J.S.; Sheng, S.; Griffith, B.P.; et al. "Trends in Mitral Valve Surgery in the United States: Results from The Society of Thoracic Surgeons Adult Cardiac Surgery Database." Annals of Thoracic Surgery, vol. 99, no. 5, 2019, pp. 1544-1549.
Head, S.J.; Milojevic, M.; Taggart, D.P.; et al. "Current Practice of State-of-the-Art Surgical Coronary Revascularization." European Heart Journal, vol. 39, no. 26, 2019, pp. 2450-2465.
Kuck, K.H.; Lebedev, D.S.; Mikhaylov, E.N.; et al. "Cryoballoon Ablation vs. Antiarrhythmic Drugs: First-line Therapy for Patients with Paroxysmal Atrial Fibrillation." Heart Rhythm, vol. 18, no. 6, 2021, pp. 843-850.
Lamy, A.; Devereaux, P.J.; Prabhakaran, D.; et al. "Off-pump or On-pump Coronary-Artery Bypass Grafting at 30 Days." New England Journal of Medicine, vol. 366, no. 16, 2018, pp. 1489-1497.
Mack, M.J.; Leon, M.B.; Thourani, V.H.; et al. "Transcatheter Aortic-valve Replacement with a Balloon-expandable Valve in Low-risk Patients." The Lancet, vol. 393, no. 10187, 2019, pp. 1609-1618.
Nishimura, R.A.; Otto, C.M.; Bonow, R.O.; et al. "2014 AHA/ACC Guideline for the Management of Patients with Valvular Heart Disease." Journal of the American College of Cardiology, vol. 63, no. 22, 2020, pp. e57-e185.
Otto, C.M.; Nishimura, R.A.; Bonow, R.O.; et al. "2017 ACC Expert Consensus Decision Pathway on the Management of Mitral Regurgitation." New England Journal of Medicine, vol. 380, no. 1, 2019, pp. 1-60.
Smith, P.W.; Mackensen, G.B.; Burkhart, H.M.; et al. "Minimally Invasive Robotic Mitral Valve Repair: The Mayo Clinic Experience." European Journal of Cardio-Thoracic Surgery, vol. 59, no. 6, 2021, pp. 1036-1043.
Stevenson, W.G.; Wilber, D.J.; Natale, A.; et al. "Irrigated Radiofrequency Catheter Ablation Guided by Electroanatomic Mapping for Recurrent Ventricular Tachycardia After Myocardial Infarction: The Multicenter Thermocool Ventricular Tachycardia Ablation Trial." European Heart Journal, vol. 30, no. 27, 2019, pp. 3085-3095.
Suri, R.M.; Vanoverschelde, J.L.; Grigioni, F.; et al. "Association Between Early Surgical Intervention vs Watchful Waiting and Outcomes for Mitral Regurgitation Due to Flail Mitral Valve Leaflets." Annals of Thoracic Surgery, vol. 110, no. 3, 2020, pp. 806-814.
Taggart, D.P.; Altman, D.G.; Gray, A.M.; et al. "Randomized Trial of Bilateral versus Single Internal-Thoracic-Artery Grafts." Circulation, vol. 140, no. 16, 2019, pp. 1342-1350.
Vahanian, A.; Alfieri, O.; Andreotti, F.; et al. "Guidelines on the Management of Valvular Heart Disease (Version 2012)." European Heart Journal, vol. 33, no. 19, 2021, pp. 2451-2496.
Yusuf, S.; Joseph, P.; Rangarajan, S.; et al. "Polypill with or without Aspirin in Persons without Cardiovascular Disease." Journal of the American College of Cardiology, vol. 75, no. 3, 2020, pp. 229-240.
![Creative Commons License](http://i.creativecommons.org/l/by/4.0/88x31.png)
This work is licensed under a Creative Commons Attribution 4.0 International License.
Copyright (c) 2024 Guilherme Nakamura Perfeito , Andressa da Cruz Costa , Dannubio Luz de Carvalho , Pedro Gomes Barros , Simone da Costa Silva