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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
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