Minimally invasive video-assisted mitral valve surgery: A 12-year, 2-center experience in 1178 patients

Abstract

Video-assisted mitral valve surgery is safe with high rates of repair, low morbidity, and excellent outcomes. Reoperation after previous median sternotomy is not an independent predictor of mortality with this approach. Operative risk is increased if surgery is delayed until the onset of atrial fibrillation.

Minimally invasive aortic valve replacement: an alternative to the conventional technique

“…Only one patient from G1 progressed to permanent sequel. Modi et al [51] also reported a 2.6% of CVA in 12 years of use of minimally invasive surgery.…”

Cirurgia cardíaca videoassistida

“…Modi et al [40] showed 82% of mitral valve in their series and also mentioned in their reports these better results in the experience of other authors.…”

“…Twelve patients had postoperative complications, among them, three cases of stroke (3/105 or 2.9%), all patients with severe aortic valve calcification and only one developed sequelae. Modi et al [40] also reported a 2.6% of stroke in 12 years of use of the method.…”

“…In the group of congenital heart disease, those times were even lower, with 1.3 ± 0.5 days in ICU and 2.6 ± 0.8 days of postoperative hospitalization, numbers that demonstrate the expected result for this technique. Argenziano et al [41] reported 20 hours of admission and 4 days of hospitalization, Modi et al [40], six days of hospitalization, and Poffo et al [39], 6.5 days of hospitalization.…”

“…This assertion is clearly demonstrated when we assess great studies on the subject. Modi et al [40] in 2009, showed the influence of CPB on morbidity, only in cases where the cardiopulmonary bypass time was over 180 minutes. Modi et al [3] by means of large meta-analysis showed that, despite higher operative times, there was an improvement of postoperative results when compared to the conventional minimally invasive technique.…”