Results of minimally invasive, video-assisted mitral valve repair in advanced Barlow's disease with bileaflet prolapse†

Muneretto, Claudio; Bisleri, Gianluigi; Bagozzi, Lorenzo; Repossini, Alberto; Berlinghieri, Nicola; Chiari, Ermanna

doi:10.1093/ejcts/ezu166

Cited by 17 publications

(17 citation statements)

References 16 publications

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“…The main findings from this study can be summarized as follows. First, MIMVS is a reproducible technique with good outcomes 26‐28 . Second, there was a low incidence of conversion to full midline sternotomy with only three episodes.…”

Section: Discussionmentioning

confidence: 95%

Learning curve predictors for minimally invasive mitral valve surgery; how far should the rabbit hole go?

Dokollari

Cameli

Pervez

et al. 2020

Journal of Cardiac Surgery

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Objective: To analyze predictors that influence the learning curve of minimally invasive mitral valve surgery (MIMVS). Methods: Patients who underwent MIMVS between March 2010 to March 2015 were retrospectively analyzed. Predictive factors that influence the learning curve were analyzed. Results: One hundred and five patients were included in the analysis. Cardiopulmonary bypass (CPB) time in minutes was 158.72 ± 40.98 and the aortic crossclamp (ACC) time in minutes was 114.48 ± 27.29. There were three operative mortalities, one stroke and five >2+ mitral regurgitation. ACC time in minutes was higher in the low logistic Euroscore II (LES) group (LES < 5% = 118.42 ± 27.94) versus (LES ≥ 5 = 88.66 ± 22.26), P < .05 while creatinine clearance in μmol/L was higher in the LES < 5% group (LES < 5% = 84.32 ± 33.7) versus (LES ≥ 5% = 41.66 ± 17.14), (P < .05). One patient from each group required chest tube insertion for pleural effusion P < .05. The cumulative sum analysis (CUSUM) for the first 25 patients had CPB and ACC times that reached the upper limits. Between 25 to 64 patients the curve remained stable while with the introduction of reoperations and complex surgical procedures the CUSUM reached the upper limits. Conclusions: The learning curve is affected by many factors but this should not desist surgeons from approaching this technique. The introduction of high-risk patients in clinical practice should be carefully measured based on surgeon experience.

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Section: Discussionmentioning

confidence: 95%

Learning curve predictors for minimally invasive mitral valve surgery; how far should the rabbit hole go?

Dokollari

Cameli

Pervez

et al. 2020

Journal of Cardiac Surgery

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“…53,63 Minimally invasive concomitant double or triple valve surgeries via mini-thoracotomy have been shown to be safe alternatives to sternotomy. 61,62,64 In one highvolume institute, 169 aortic valve replacement surgeries with concomitant mitral valve replacement or repair have been performed over 5.5 years with low morbidity and mortality.…”

Section: Future: Advanced Minimally Invasive Surgerymentioning

confidence: 99%

Minimally Invasive Valve Surgery: When Less Is More

Lamelas

Nguyen

2015

Seminars in Thoracic and Cardiovascular Surgery

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“…Our studies have shown that meticulous hemostasis was carried out and the protamine is fully reversal with heparin before lobectomy, the occurrence of bleeding complications and incomplete lymph node dissection can be reduced. Our successful one-stage VATS oncologic resection and MIS of the MV resulted in a good clinical and cosmetic outcome, rapid patient recovery, and overall patient satisfaction [5] (Fig. 2d).…”

Section: Discussionmentioning

confidence: 81%

Combined one-stage minimally invasive surgery for primary pulmonary carcinoma and mitral regurgitation

Huang

Yang

Huang

et al. 2020

J Cardiothorac Surg

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Background:We report the first successful short-term outcome of one-stage minimally invasive surgery (MIS) mitral valve repair and video-assisted thoracoscopic surgery (VATS) lobectomy. Case presentation: We report the first successful short-term outcome of combined one-stage video-assisted thoracoscopic surgery lobectomy and minimally invasive surgery in a patient with operable primary right upper lobe adenocarcinoma and mitral regurgitation. Post-operative recovery was uneventful, and follow-up at 6 weeks confirmed an excellent surgical and oncologic outcome.Conclusions: We think one-stage minimally invasive surgery (MIS) cardiac surgery and video-assisted thoracoscopic surgery (VATS) lobectomy would benefit patients with satisfactory cardiac and pulmonary function.

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Results of minimally invasive, video-assisted mitral valve repair in advanced Barlow's disease with bileaflet prolapse†

Abstract: Minimally invasive approach for complex MV repair is feasible and safe and provided excellent early and mid-term results.

Cited by 17 publications

References 16 publications

Learning curve predictors for minimally invasive mitral valve surgery; how far should the rabbit hole go?

Learning curve predictors for minimally invasive mitral valve surgery; how far should the rabbit hole go?

Minimally Invasive Valve Surgery: When Less Is More

Combined one-stage minimally invasive surgery for primary pulmonary carcinoma and mitral regurgitation

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