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[Minimally Invasive Mitral Valve Plasty;My Technique]

Toshiaki Ito1

  • 1Department of Cardiovascular Surgery, Japanese Red Cross Nagoya First Hospital, Nagoya, Japan.

Kyobu Geka. the Japanese Journal of Thoracic Surgery
|July 22, 2016
PubMed

Insights

This study details a minimally invasive mitral valve plasty using a totally endoscopic approach. The technique avoids rib spreaders and utilizes a 3D endoscope for enhanced visualization during valve repair.

Area of Science:

  • Cardiovascular Surgery
  • Minimally Invasive Techniques
  • Thoracic Surgery

Background:

  • Mitral valve plasty is a crucial procedure for treating mitral valve disease.
  • Minimally invasive approaches aim to reduce surgical trauma and improve patient recovery.
  • Endoscopic visualization offers potential advantages in precision and access during cardiac surgery.

Purpose of the Study:

  • To describe a totally endoscopic minimally invasive mitral valve plasty technique.
  • To evaluate the feasibility and methods of this endoscopic approach for mitral valve repair.

Main Methods:

  • Utilized a 3-5 cm main incision in the right 4th intercostal space with additional trocar ports for instruments and camera.
  • Employed a 3-dimensional endoscope for enhanced visualization.
  • Performed mitral valve repair using resection and suture for posterior leaflet lesions and loop technique for anterior leaflet prolapse.
  • Established cardiopulmonary bypass via femoral artery and vein cannulation, omitting jugular vein cannulation.

Main Results:

  • Successfully performed mitral valve plasty under totally endoscopic view.
  • Avoided the use of a median sternotomy and rib spreaders.
  • Detailed specific techniques for posterior and anterior leaflet repair within the endoscopic framework.

Conclusions:

  • Totally endoscopic minimally invasive mitral valve plasty is a feasible approach.
  • This technique offers an alternative to traditional open-heart surgery for mitral valve repair.
  • The use of 3D endoscopy enhances surgical precision in minimally invasive cardiac procedures.

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