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Published on: March 26, 2018
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Two-Incision Totally Thoracoscopic Approach for Mitral Valve Replacement
Guochang Zhao1, Jie Gao1, Yan Liu1
1Department of Cardiac Surgery, Beijing Chaoyang Hospital, Capital Medical University, Ministry of Education.
International Heart Journal
|November 10, 2017
Summary
A new two-incision totally thoracoscopic approach for mitral valve replacement (MVR) is safe and feasible for mitral stenosis patients. This minimally invasive technique offers reduced blood drainage and shorter ventilation times compared to traditional methods.
Area of Science:
- Cardiovascular Surgery
- Minimally Invasive Procedures
- Thoracic Surgery
Background:
- Traditional totally thoracoscopic mitral valve replacement (MVR) often requires longer incisions (6-8 cm).
- Mitral stenosis is a condition requiring surgical intervention for valve repair or replacement.
Purpose of the Study:
- To evaluate the safety and feasibility of a novel two-incision, totally thoracoscopic approach for MVR.
- To compare outcomes of the two-incision MVR with the standard sternotomy approach.
Main Methods:
- Retrospective analysis of 90 patients with mitral stenosis undergoing MVR from January 2014 to February 2016.
- Comparison of perioperative variables and 3-month postoperative follow-up data between a two-incision group (36 patients) and a sternotomy group (54 patients).
Main Results:
- The two-incision group had longer mean surgery, cardiopulmonary bypass, and cross-clamp times (P < 0.05).
- Shorter postoperative mechanical ventilation time (8.6 vs. 11.2 hours) and less blood drainage (497 vs. 730 mL) were observed in the two-incision group (P < 0.05).
- No deaths, perivalvular leakage, or infectious endocarditis were reported at 3-month follow-up.
Conclusions:
- The two-incision totally thoracoscopic approach for MVR is a safe and feasible alternative.
- This technique allows for convenient concomitant tricuspid valvuloplasty.
- Further clinical studies are warranted to validate these findings.
Keywords:
Mitral stenosis
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