Minimally invasive mitral valve surgery: a 6-year experience with 714 patients

Grossi, Eugene A.; Galloway, Aubrey C.; LaPietra, Angelo; Ribakove, Greg H.; Ursomanno, Patricia; Delianides, Julie; Culliford, Alfred T.; Bizekis, Costas; Esposito, Giovanni; Baumann, F.Gregory; Kanchuger, Marc S.; Colvin, Stephen B.

doi:10.1016/s0003-4975(02)03754-2

Cited by 198 publications

(136 citation statements)

References 18 publications

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“…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

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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.

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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

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“…The small incisions are attractive for both medical staff and patient, leading to a lower incidence of infection and sternal dehiscence, lower incidence of postoperative pain and early hospital discharge are well documented in many current studies [20,21].…”

Section: Resultsmentioning

confidence: 98%

“…Currently, the use of cardiac video-assisted surgery for heart valve disease, coronary disease, and congenital defects treatment is increasingly higher, lying in the skilled surgeons' hand the greater expansion and the ultimate consecration of these procedures [11,12,20,21].…”

Section: Resultsmentioning

confidence: 99%

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Padronização da técnica para cirurgia cardíaca videoassistida: experiência inicial

Júnior¹,

Filho²,

Branco³

et al. 2008

Rev Bras Cir Cardiovasc

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“…The objectives are better patient recovery with less pain and postoperative complications, resulting in less hospital stay and cost reduction [15][16]. Another point is the aesthetic appearance and patient satisfaction due to reduced surgical trauma (scar) (Figure 3) [17,18].…”

Section: Discussionmentioning

confidence: 99%

Cirurgia cardíaca videoassistida: resultados de um projeto pioneiro no Brasil

Poffo¹,

Pope²,

Selbach³

et al. 2009

Rev Bras Cir Cardiovasc

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Results: The surgical procedures were: plasty (n=20) or mitral valve replacement (n=36), aortic valve replacement (n=14), atrioseptoplasty using pericardial patch (n=32), tricuspid valve repair with rigid ring (n=6) and surgical correction of atrial fibrillation with radiofrequency (n=12). There were no complications during the procedures. There was no conversion to thoracotomy in neither case. Two patients developed atrial fibrillation in the postoperative period. There was an episode of stroke seven days after the hospital discharge and one death (0,9%) due to systemic inflammatory response syndrome (SIRS).Conclusion: This study demonstrates the coverage of pathologies that are possible to be approached by videoassisted cardiac surgery with cardiopulmonary bypass being a safe and effective procedure with low morbimortality. Minimally invasive video-assisted cardiac surgery is already a reality in Brazil, demonstrating excellent aesthetic and functional results. Rev Bras Cir Cardiovasc 2009; 24(3): 318-326 and transesophageal echocardiogram, ultrasound of the carotid arteries, abdominal, iliac and femoral arteries. In patients with suspicion of some obstruction of peripheral arteries, angiotomography of the thoracoabdominal aorta was requested. Special care was taken at the time of cardiac catheterization, avoiding puncturing the femoral vessels, giving preference to puncture of the radial artery and complete aortography was performed during the exam. After the first 40 cases, we included patients with an ejection fraction below 55%, emergencies, reoperations and obese patients.The age ranged from 18 to 68 years, and 57 patients were female (55.8%).

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Minimally invasive mitral valve surgery: a 6-year experience with 714 patients

Cited by 198 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

Padronização da técnica para cirurgia cardíaca videoassistida: experiência inicial

Cirurgia cardíaca videoassistida: resultados de um projeto pioneiro no Brasil

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