[Mitral Valve Surgery with Direct Vision Via Right Minithoracotomy]

Area of Science:

• Cardiovascular Surgery
• Minimally Invasive Techniques
• Cardiac Valve Repair

Background:

• Traditional open-chest mitral valve surgery poses significant patient burden.
• Minimally invasive approaches are gaining traction for cardiac procedures.
• Patient demand for improved recovery and aesthetics drives surgical innovation.

Purpose of the Study:

• To evaluate the safety and efficacy of mitral valve surgery performed via minithoracotomy under direct vision.
• To assess the short-term and long-term outcomes of this minimally invasive technique.
• To identify key factors for successful operative results and complication avoidance.

Main Methods:

• Direct vision mitral valve surgery through a limited thoracotomy incision.
• Establishment of cardiopulmonary bypass.
• Implementation of strict myocardial protection strategies.
• Intraoperative monitoring including trans-esophageal echocardiography and regional oxygen saturation.

Main Results:

• The minithoracotomy approach demonstrated safety and feasibility.
• Excellent short-term and long-term results were achieved.
• High patient satisfaction reported regarding early recovery and cosmetic outcomes.

Conclusions:

• Mitral valve surgery via minithoracotomy under direct vision is a safe and effective procedure.
• The benefits of early recovery and cosmetic results support the wider adoption of this technique.
• Careful patient selection, cardiopulmonary bypass management, myocardial protection, and monitoring are crucial for optimal outcomes.