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Fully Endoscopic Mitral Valve Repair with Percutaneous Cannulation of Groin Vessels
Published on: May 26, 2023
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Minimally invasive triple valve surgery: A single center experience
Michael G Moront1, Michael Kuehne1, Roberta E Redfern2
1Department of Cardiothoracic Surgery, ProMedica Toledo Hospital, Toledo, Ohio.
Journal of Cardiac Surgery
|July 16, 2020
Summary
Minimally invasive triple valve surgery (TVS) using femoral cannulation demonstrates excellent short-term survival with no hospital deaths. This approach offers an acceptable risk profile for complex valve disease treatment.
Area of Science:
- Cardiac Surgery
- Minimally Invasive Procedures
- Valvular Heart Disease
Background:
- Minimally invasive surgery is a standard for valve disease.
- Triple valve surgery (TVS) is complex and challenging.
- Assessing outcomes of minimally invasive TVS is crucial.
Purpose of the Study:
- To evaluate the morbidity and mortality associated with minimally invasive triple valve surgery (TVS).
- To describe the outcomes of patients undergoing minimally invasive TVS at our institution.
Main Methods:
- Retrospective review of minimally invasive TVS procedures from 2012 to 2019.
- Analysis of baseline, perioperative characteristics, and postoperative outcomes.
- Inclusion of patients who underwent TVS with or without additional procedures.
Main Results:
- Eighteen patients underwent minimally invasive TVS.
- No in-hospital mortality; 0% 30-, 90-, and 365-day mortality.
- Common complications included rhythm disturbances (5 patients requiring pacemakers), with low rates of neurologic complications and acute kidney injury.
Conclusions:
- Minimally invasive TVS using femoral cannulation is associated with an acceptable risk of complications.
- Excellent short- and intermediate-term survival rates were observed.
- This technique provides a viable option for complex valve disease.
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