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Published on: March 26, 2018
Contemporary Review of Minimally Invasive Mitral Valve Surgery: Current Considerations and Innovations
Sharifa Alsheebani1, Daniel Goubran2, Benoit de Varennes1
1Department of Surgery, McGill University, Montreal, QC H3A 0G4, Canada.
Abstract:
Minimally invasive mitral valve surgery (MIMVS) has become a well-established alternative to traditional median sternotomy at high-volume surgical centers. Advancements in surgical instruments have led to further refinement of MIMVS. However, MIMVS remains limited to select patients in select settings. In this review, we provide a brief overview of the evolution of MIMVS, as well as a technical description of the most relevant aspects of minimally invasive mitral valve surgery.
Insights
Minimally invasive mitral valve surgery (MIMVS) offers a safe alternative to traditional sternotomy. This review details MIMVS evolution and techniques for select patients.
Area of Science:
- Cardiovascular Surgery
- Thoracic Surgery
- Minimally Invasive Techniques
Background:
- Minimally invasive mitral valve surgery (MIMVS) is an established alternative to median sternotomy.
- High-volume centers have refined MIMVS procedures.
- Current limitations restrict MIMVS to specific patient groups and settings.
Purpose of the Study:
- To review the historical development of MIMVS.
- To provide a technical overview of key MIMVS aspects.
Main Methods:
- Literature review focusing on the evolution of MIMVS.
- Technical description of current MIMVS procedures.
Main Results:
- MIMVS has evolved significantly due to surgical instrument advancements.
- Technical refinements have improved MIMVS outcomes.
- Patient and setting selection remain critical for successful MIMVS.
Conclusions:
- MIMVS is a viable option when performed in appropriate settings by experienced surgeons.
- Continued advancements in technology may expand MIMVS applicability.
- Understanding MIMVS evolution and techniques is crucial for its optimal application.
