Minimal invasive mitral valve repair for mitral regurgitation: results of 1339 consecutive patients☆

Seeburger, Joerg; Borger, Michael A.; Falk, Volkmar; Kuntze, Thomas; Czesla, Markus; Walther, Thomas; Doll, Nicolas; Mohr, Friedrich W.

doi:10.1016/j.ejcts.2008.05.015

Cited by 257 publications

(202 citation statements)

References 18 publications

Supporting

Mentioning

188

Contrasting

Unclassified

Order By: Relevance

“…They concluded that a mini-sternotomy can be performed safely for aortic valve replacement without an increased risk of death, major complications (Khoshbin et al, 2011), a reduction in ICU stay time (Brown et al, 2009), or clinical benefit (Aybek et al, 2000). Moreover, we excluded 12 studies because they had no control groups (Loulmet et al, 1998;Mishra et al, 1999;Riess et al, 2001;Grossi et al, 2002;Onnasch et al, 2002b;Aybek et al, 2006;Martin et al, 2006;Seeburger et al, 2008;Glaubera et al, 2009;Müller et al, 2011;Reser et al, 2012), which ranged from 22 to 1339 in sample size. However, these studies, with 3085 patients in total, summarized the long-term clinical experience of ALMT, which is useful for making clinical decisions and ensuring the safety of ALMT.…”

Section: Discussionmentioning

confidence: 99%

Anterolateral minithoracotomy versus median sternotomy for mitral valve disease: a meta-analysis

Ding

Jiang

Tao

et al. 2014

J. Zhejiang Univ. Sci. B

View full text Add to dashboard Cite

Abstract:Objective: Mitral valve disease tends to be treated with anterolateral minithoracotomy (ALMT) rather than median sternotomy (MS), as ALMT uses progressively smaller incisions to promote better cosmetic outcomes. This meta-analysis quantifies the effects of ALMT on surgical parameters and post-operative outcomes compared with MS. Methods: One randomized controlled study and four case-control studies, published in English from January 1996 to January 2013, were identified and evaluated. Results: ALMT showed a significantly longer cardiopulmonary bypass time (P=0.001) and aortic cross-clamp time (P=0.05) compared with MS. However, the benefits of ALMT were evident as demonstrated by a shorter length of hospital stay (P<0.00001). According to operative complications, the onset of new arrhythmias following ALMT decreased significantly as compared with MS (P=0.05); however, the incidence of peri-operative mortality (P=0.62), re-operation for bleeding (P=0.37), neurologic events (P=0.77), myocardial infarction (P=0.84), gastrointestinal complications (P=0.89), and renal insufficiency (P=0.67) were similar to these of MS. Long-term follow-up data were also examined, and revealed equivalent survival and freedom from mitral valve events. Conclusions: Current clinical data suggest that ALMT is a safe and effective alternative to the conventional approach and is associated with better short-term outcomes and a trend towards longer survival.

show abstract

Section: Discussionmentioning

confidence: 99%

Anterolateral minithoracotomy versus median sternotomy for mitral valve disease: a meta-analysis

Ding

Jiang

Tao

et al. 2014

J. Zhejiang Univ. Sci. B

View full text Add to dashboard Cite

show abstract

“…Mitral, tricuspid, and atrial surgery, including valve pathology, left and right cardiac masses and inter-atrial septum defects have been for many years corrected by right mini-thoracotomy in selected centers (4,5). Worldwide experience with these techniques has been growing, and results have progressively shown this approach is equal, if not better, to standard sternotomy in this setting.…”

Section: Mitral Tricuspid and Atrial Surgerymentioning

confidence: 99%

Cardiac surgery using a single thoracic port—current status and future directions

Gallego-Poveda¹,

Guerra²,

González-Rivas³

et al. 2017

J. Thorac. Dis.

View full text Add to dashboard Cite

Cardiac surgery is almost universally performed through a median sternotomy, an approach which is painful, unestethical, and prone to life-threatening infections. Minimally invasive cardiac surgery has tried to avoid problems associated with full sternotomy for many years. Recently, uniportal thoracic surgery was shown to be very advantageous when compared to standard thoracotomy and classical video assisted thoracic surgery (VATS). Despite very good results in lung surgery, cardiac surgery through a single thoracic port has rarely been attempted and successfully conducted. The authors present the rational, the technique, and their experience in cardiac single thoracic port surgery (CSTPS).

show abstract

“…12,13 The minimally invasive technique for MV and TV surgery via a right anterolateral mini-thoracotomy has been described earlier by our group. [14][15][16][17] The technique of MV repair/replacement and the decision for or against additional TV repair was at the surgeon's discretion, depending on the preoperative and/or intraoperative echocardiography data.…”

Section: Methodsmentioning

confidence: 99%

Role of Tricuspid Valve Repair for Moderate Tricuspid Regurgitation during Minimally Invasive Mitral Valve Surgery

Pfannmueller

Verevkin

Borger

et al. 2013

Thorac cardiovasc Surg

View full text Add to dashboard Cite

IntroductionThe decision as to whether or not concomitant tricuspid valve (TV) surgery should be performed in patients with left-sided valve surgery was influenced for many years by an article from Braunwald et al in 1967. 1 In this article, the authors concluded that tricuspid regurgitation (TR), in the presence of concomitant mitral valve (MV), would "… improve or disappear after MV replacement and that TV replacement is seldom necessary."However, several publications in the past 10 years have demonstrated that up to 74% of patients undergoing successful left-sided valve surgery will develop TR over time with poor outcomes. [2][3][4][5] In addition, TV-related reoperation is associated with an early mortality rate ranging between 0 and 37%.

show abstract

Minimal invasive mitral valve repair for mitral regurgitation: results of 1339 consecutive patients☆

Abstract: Minimal invasive MV repair, along with certain concomitant procedures, can be performed in the vast majority of patients with MR. Our large series demonstrates that these procedures can be performed with low perioperative complication rates and very good durability.

Cited by 257 publications

References 18 publications

Anterolateral minithoracotomy versus median sternotomy for mitral valve disease: a meta-analysis

Anterolateral minithoracotomy versus median sternotomy for mitral valve disease: a meta-analysis

Cardiac surgery using a single thoracic port—current status and future directions

Role of Tricuspid Valve Repair for Moderate Tricuspid Regurgitation during Minimally Invasive Mitral Valve Surgery

Contact Info

Product

Resources

About