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Minimally invasive mitral valve surgery: "The Leipzig experience"
Piroze M Davierwala1, Joerg Seeburger1, Bettina Pfannmueller1
1Department of Cardiac Surgery, Heart Center, University of Leipzig, Leipzig, Germany.
Annals of Cardiothoracic Surgery
|December 19, 2013
Summary
Minimally invasive mitral valve repair (MVRp) is safe and effective, showing excellent early and long-term survival rates. This approach offers acceptable outcomes with few complications for patients needing mitral valve surgery.
Area of Science:
- Cardiovascular Surgery
- Thoracic Surgery
- Minimally Invasive Procedures
Background:
- Minimally invasive mitral valve surgery is a standard procedure.
- Analysis of early and long-term outcomes over a decade.
- Specific focus on mitral valve repair (MVRp) outcomes.
Purpose of the Study:
- To evaluate the safety and efficacy of minimally invasive mitral valve surgery.
- To assess early and long-term results of mitral valve repair (MVRp).
- To analyze survival and freedom from reoperation rates.
Main Methods:
- Prospective data collection from May 1999 to December 2010.
- Inclusion of 3,438 patients undergoing minimally invasive mitral valve surgery.
- Survival and reoperation freedom analyzed using life tables and Kaplan-Meier methods.
Main Results:
- 2,829 mitral valve repairs (MVRp) and 609 replacements (MVR) performed.
- Low conversion rate to sternotomy (<1.4%) and 30-day mortality (0.8%).
- 5- and 10-year survival rates of 85.7% and 71.5% for all patients; 87.0% and 74.2% for MVRp.
Conclusions:
- Minimally invasive mitral valve repair (MVRp) is safe and effective.
- Achieves very few perioperative complications.
- Demonstrates acceptable early and long-term patient outcomes.
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