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Patient-reported outcome measures after mitral valve repair: a comparison between minimally invasive and sternotomy

Jennifer Whiteley1, Caroline Toolan1, Matthew Shaw1

  • 1Department of Cardiac Surgery, Liverpool Heart and Chest Hospital NHS Foundation Trust, Liverpool, UK.

Interactive Cardiovascular and Thoracic Surgery
|April 8, 2021
PubMed
Abstract

Insights

Minimally invasive (MI) mitral valve repair leads to faster recovery and less pain compared to sternotomy (ST) repair. Patient satisfaction and safety were similar between the two surgical approaches.

Area of Science:

  • Cardiovascular Surgery
  • Minimally Invasive Surgery
  • Patient-Reported Outcomes

Background:

  • Mitral valve repair is a common cardiac procedure.
  • Surgical approaches include sternotomy (ST) and minimally invasive (MI) techniques.
  • Comparing patient outcomes between these approaches is crucial for surgical decision-making.

Purpose of the Study:

  • To compare patient-reported outcome measures between minimally invasive (MI) and sternotomy (ST) mitral valve repair.
  • To assess differences in recovery time, postoperative pain, and treatment satisfaction.

Main Methods:

  • A retrospective study included patients undergoing isolated mitral valve surgery.
  • Propensity-matched groups (n=47/group) underwent either MI (mini-thoracotomy) or ST.
  • Patient-reported outcomes were assessed using a modified Composite Physical Function questionnaire.

Main Results:

  • Minimally invasive surgery was associated with significantly faster recovery (P=0.03) and less postoperative pain (P=0.02).
  • Operative times were longer for MI, but postoperative outcomes were otherwise similar.
  • Treatment satisfaction was high and comparable between both groups (P=0.15).

Conclusions:

  • Minimally invasive mitral valve repair offers advantages in terms of faster recovery and reduced pain.
  • Both MI and ST approaches demonstrate similar safety profiles and high patient satisfaction.
  • MI surgery is an independent predictor of improved recovery and pain reduction.
Keywords:
Minimally invasiveMitral valve repairMitral valve surgeryPatient-reported outcome measuresPatient-reported outcomesSternotomy

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