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Video assisted minimally invasive mitral valve surgery via right minithoracotomy: New standard for mitral surgery
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Abstract
Our restrospective reviewed 204 patients underwent minimally invasive mitral valve surgery at the University Medical Center at Ho Chi Minh City from 08/2014 to 08/2018. 183 patients underwent minimally invasive mitral valve surgery, including 86 mitral valve repair. Mean age was 50.1±12.6. Male to female ratio was 1.2:1. Patients with mitral valve repair included 76 degenerative valves, 1 post- rheumatic valves, 2 endocarditis and 4 congenital valves. The main mechanism was posterior leaflet prolapse 59 patients, anterior leaflet prolapse consists of 17 patiens, there were5 patients with both leaflets prolapse, 4 patients with anterior leaflet cleft, and 1 patients with commissural lesions. We encountered 15 complications: 4 hemothorax requiring draining, 1 annular rupture, 1 reoperation due to residual mitral regurgitation and 9 reoperation due bleeding, 1 femoral artery stenosis required patch plasty. Goals of operation were achieved 93%.
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Keywords
Minimally invasive mitral surgery, minithoracotomy, thoracic endoscopy
References
2. Gammie, J.S., et al., J. Maxwell Chamberlain Memorial Paper for adult cardiac surgery. Less-invasive mitral valve operations: trends and outcomes from the Society of Thoracic Surgeons Adult Cardiac Surgery Database. Ann Thorac Surg, 2010. 90(5): p. 1401-8, 1410 e1; discussion 1408-10.
3. Holzhey, David M. et al"Learning Minimally Invasive Mitral Valve Surgery."Circulation128.5(2013):483-491
4. Iribarne, A., et al., Minimally invasive versus sternotomy approach for mitral valve surgery: a propensity analysis. Ann Thorac Surg, 2010. 90(5): p. 1471-7; discussion 1477-8.
5. Ito, T., Minimally invasive mitral valve surgery through right mini-thoracotomy: recommendations for good exposure, stable cardiopulmonary bypass, and secure myocardial protection. Gen Thorac Cardiovasc Surg, 2015. 63(7): p. 371-8.
6. Modi, P., A. Hassan, and W.R. Chitwood, Jr., Minimally invasive mitral valve surgery: a systematic review and meta-analysis. Eur J Cardiothorac Surg, 2008. 34(5): p. 943-52.
7. Modi, P., et al., Minimally invasive video- assisted mitral valve surgery: a 12-year, 2-center experience in 1178 patients. J Thorac Cardiovasc Surg, 2009. 137(6): p. 1481-7.
8. Yamada, T., et al., Comparison of early postoperative quality of life in minimally invasive versus conventional valve surgery. J Anesth, 2003. 17(3): p. 171-6