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Systematic Review of Minimally Invasive Surgery for Mitral Valve Infective Endocarditis

Emily Shih1,2, John J Squiers1,2, J Michael DiMaio1,3

  • 1570470 Baylor Scott & White Research Institute, The Heart Hospital Baylor Plano, Plano, TX, USA.

Innovations (Philadelphia, Pa.)
|April 8, 2021
PubMed
Abstract

Insights

Minimally invasive mitral valve surgery for infective endocarditis shows acceptable short-term outcomes. This approach may be a viable alternative, though further research is recommended.

Area of Science:

  • Cardiac Surgery
  • Infective Endocarditis
  • Minimally Invasive Procedures

Background:

  • The application of minimally invasive mitral valve surgery is expanding.
  • Data on the safety and efficacy of minimally invasive mitral valve surgery for infective endocarditis is limited.

Purpose of the Study:

  • To identify the best available evidence supporting a minimally invasive surgical approach for mitral valve infective endocarditis.

Main Methods:

  • A systematic review was conducted following Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines.
  • Included studies focused on minimally invasive mitral valve surgery for infective endocarditis.

Main Results:

  • Six manuscripts reported on 271 patients; mean age 60.4 years, 60.1% male.
  • Average in-hospital mortality was 9.4%, 30-day survival 89.1%, 1-year survival 79.3%.
  • Conversion to sternotomy was 1.8%; reoperation was required in 9.3%.

Conclusions:

  • Minimally invasive mitral valve surgery for infective endocarditis demonstrates acceptable perioperative morbidity and mortality at experienced centers.
  • This approach may be a suitable alternative for infective endocarditis, warranting further investigation.
Keywords:
infectious endocarditisminimally invasive cardiac surgerymitral valverobotic mitral valve surgery

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