Adoption of minimally invasive mitral valve surgery: single-centre implementation experience in Vietnam

Abstract

The adoption of minimally invasive mitral valve surgery (MIMVS) has become a prominent trend in mitral valve procedures. This article emphasizes that the success of the MIMVS program relies not only on effective teamwork but also on comprehensive hospital support and a clearly defined training strategy. Additionally, targeted marketing initiatives that highlight the value of the heart valve center are crucial for sustaining the program’s success and attracting a consistent patient flow. The implementation of these strategies requires diligent execution, consistent maintenance, and continuous improvement to ensure the triumph of the MIMVS program. This article aims to share our experience in implementing MIMVS at our center, providing valuable insights for centers that have yet to adopt this approach or have low adoption rates. While acknowledging that sharing our center’s experience cannot guarantee success in all centers, customizing the implementation by selecting appropriate features and access points is vital. Each center may encounter unique challenges, and tailoring the strategy to address specific needs will enhance the effectiveness of the MIMVS program.

Concomitant Surgical Ablation for Treatment of Atrial Fibrillation in Patients Undergoing Minimally Invasive Mitral Valve Surgery: A Single-Center Experience in Vietnam

“…Hospital culture plays a pivotal role in ensuring patient safety, particularly in the context of minimally invasive cardiac surgery. 7 Our patient selection process, which prioritizes individuals with low to moderate surgical risk, is in line with the increasing adoption of minimally invasive cardiac surgery in a variety of procedures. The EuroScore II scale has been instrumental in assessing patient risk before cardiac surgery.…”

“…5 In line with our hospital's culture of prioritizing patient safety, we meticulously selected individuals with low to moderate surgical risk, as evidenced by an average EuroScore II score of 2.64 AE 1.49%. 7 This approach ensures that multiple minimally invasive procedures can be performed for each patient. Our hospital's mortality rate was 2.3%, with a late mortality rate of 3.5%.…”

“…[3][4][5] In 2014, our center initiated MIMVS procedures and subsequently integrated simultaneous ablation for the treatment of AF into our standard practice. 6,7 The primary objective of our study is to present an analysis of the early and midterm results of MIMVS combined with surgical AF ablation, as performed at our center.…”