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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
PubMed
Abstract

Insights

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.
Keywords:
Minimally invasive mitral valve surgeryrepairshort-, long-term outcomessurgical technique

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