Video-assisted minimally invasive mitral valve surgery

Chitwood, W. Randolph; Wixon, Christopher L.; Elbeery, Joseph R; Moran, Jon F.; Chapman, William H.; Lust, Robert M.

doi:10.1016/s0022-5223(97)70081-3

Cited by 186 publications

(115 citation statements)

References 21 publications

(2 reference statements)

Supporting

Mentioning

114

Contrasting

Unclassified

Order By: Relevance

“…Two studies, Chitwood et al (1997) and Iribarne et al (2012), were excluded because additional inclusive data were found from the same groups of Felger et al (2001) and Iribarne et al (2010), respectively. In total, we identified 379 studies by searching databases.…”

Section: Resultsmentioning

confidence: 99%

“…Chitwood et al (1997), Iribarne et al (2012), and Cosgrove et al (1998) equated this to $9165 (34%), $6721, and $420 (7%) in cost savings, respectively. Furthermore, discharge to the home, routinely or with a health aide, and satisfactory rehabilitation were more commonly reported in ALMT compared with MS, which can greatly save healthcare costs (Iribarne et al, 2012).…”

Section: Arrhythmiasmentioning

confidence: 99%

See 1 more Smart Citation

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: Resultsmentioning

confidence: 99%

Section: Arrhythmiasmentioning

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

“…Increased cardiopulmonary bypass time has been cited as a problem with MICS, as compared with CCS procedures [5,6]. The literature shows that the aortic clamp and bypass times and duration of surgery are longer in minimally invasive procedures, which is attributable to the deeper operative field and attendant technical difficulties [7][8][9]. Cohn et al [10] reported a 40% increase in cardiopulmonary bypass time in minimally invasive as compared with conventional procedures.…”

Section: Discussionmentioning

confidence: 99%

Comparison of early postoperative quality of life in minimally invasive versus conventional valve surgery

et al. 2003

View full text Add to dashboard Cite

show abstract

“…In the mid-1990s, several reports about less invasive heart surgery techniques [12][13][14] appear in the medical literature. The objectives are better patient recovery with less pain and postoperative complications, resulting in less hospital stay and cost reduction [15][16].…”

Section: Discussionmentioning

confidence: 99%

Cirurgia cardíaca videoassistida: resultados de um projeto pioneiro no Brasil

Poffo¹,

Pope²,

Selbach³

et al. 2009

Rev Bras Cir Cardiovasc

View full text Add to dashboard Cite

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%).

show abstract

Video-assisted minimally invasive mitral valve surgery

Abstract: Early results suggest that video-assisted minimally invasive mitral operations can be done safely. These methods may benefit patients through less morbidity, earlier discharge, and lower cost.

Cited by 186 publications

References 21 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

Comparison of early postoperative quality of life in minimally invasive versus conventional valve surgery

Cirurgia cardíaca videoassistida: resultados de um projeto pioneiro no Brasil

Contact Info

Product

Resources

About