Key result
Elective minimally invasive cardiac surgery shows 0% in-hospital mortality and no conversions to median sternotomy.
Why the study?
The adoption of minimally invasive cardiac surgery has increased over the past 25 to 30 years, but outcomes needed evaluation in this setting.
Observational (n=144)
No
Minimally invasive cardiac surgery can be safely and effectively performed in a developing country setting with favorable procedural times and low complication rates.
Background The adoption of minimally invasive cardiac surgery (MICS) has increased over the past 25 to 30 years, driven by advancements in technology and a growing understanding of its benefits. This study evaluates the outcomes of 144 elective MICS procedures performed between January 2019 and September 2024. Methods Patients underwent various surgical approaches, including upper mini-sternotomy, mini-thoracotomy, and sub-xiphoid access. Patient demographics, preoperative characteristics, and surgical outcomes were analyzed. A total of 144 MICS procedures were performed. Results The cohort had a mean age of 30.72 years, with a nearly equal gender distribution, indicating that MICS can be performed safely in Pakistani patients. The mean ejection fraction was 53.58%, with hypertension being the most common comorbidity (22.2%). Aortic cannulation was primarily utilized, and aortic valve replacement (AVR) was the most common procedure (44.4%). The mean cardiopulmonary bypass (CPB) time was 95.9 ± 56.3 minutes and the mean aortic cross-clamp time was 62.22 ± 57.004 minutes, demonstrating efficient procedural times. The overall incidence of complications was low, supporting the safety and efficacy of MICS. Conclusion Our findings suggest that MICS is a viable and effective approach for a diverse patient population, with favorable clinical outcomes. The results underscore the potential for MICS to become standard practice in cardiothoracic surgery. Future research should focus on long-term outcomes and the influence of comorbidities to further enhance MICS methodologies.
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Aasim et al. (2024) conducted an observational in Cardiac surgical conditions requiring minimally invasive surgery (n=144). Minimally invasive cardiac surgery (MICS) was evaluated on In-hospital mortality. Elective minimally invasive cardiac surgery in 144 patients resulted in 0% in-hospital mortality and no conversions to full median sternotomy, demonstrating its safety and feasibility.
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