[Early Results of Minimally Invasive Cardiac Surgery (MICS) Mitral Valve Surgery with 51 Cases].

Abstract

BACKGROUND:

Minimally invasive cardiac surgery of the mitral valve (MICS-MV) has become the routine approach to mitral valve disease in some centers. We reported early results of 51 cases of MICS-MV.

METHOD:

The preoperative variables, intraoperative date and postoperative outcomes of patients undergoing MICS-MV and conventional surgery of the mitral valve were collected from January 2013 to August 2014.

RESULTS:

Aortic cross clamp and cardio-pulmonary bypass( CPB) time were longer in this series than in the conventional median sternotomy. We experienced complications and 2 patients required mitral valve replacement (MVR) due to failure of repair in initial MICS cases. One case of the patients with infective endocarditis was performed conversion of from MICS to a median sternotomy due to left ventricle(LV) rupture.

CONCLUSION:

The early-time outcomes in these patients are acceptable. We think that large number of MICS-MV operations are required to overcome the learning curve.

• Authors: Ikuo Katayama, Masashi Tanaka, Kenichirou Noguchi, Tsuyoshi Yamabe, Daisuke Yuji, Yoshikazu Ooshiro, Miyo Shirouzu
• Journal: Kyobu geka. The Japanese journal of thoracic surgery (Kyobu Geka) Vol. 68 Issue 1 Pg. 16-22 (Jan 2015) ISSN: 0021-5252 [Print] Japan
• PMID: 25595156 (Publication Type: English Abstract, Journal Article)

Topics

• Aged
• Cardiopulmonary Bypass
• Heart Valve Prosthesis Implantation (methods)
• Humans
• Male
• Middle Aged
• Minimally Invasive Surgical Procedures (methods)
• Mitral Valve (surgery)
• Mitral Valve Annuloplasty (methods)
• Patient Care Team
• Treatment Outcome