September 1, 2015
Minimally invasive mitral valve repair through right minithoracotomy in the setting of degenerative mitral regurgitation: early outcomes and long-term follow-up.
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Population
703 patients with degenerative mitral valve regurgitation undergoing minimally invasive mitral valve surgery…
Design
Cohort
Follow-up
median 48 months (IQR 31-76 months)
Authors
Discussion
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Member takes
Implication
Supports minithoracotomy repair in experienced centers; leaves open randomized comparison to sternotomy.
Structured PICO
P
Population
703 patients with degenerative mitral valve regurgitation undergoing minimally invasive mitral valve surgery through right minithoracotomy, mean age 62, 42% female.
I
Intervention
Minimally invasive mitral valve surgery (MIMVS) through right minithoracotomy.
O
Outcome
Early mortality (within 30 days or before discharge) and long-term overall survival, freedom from reoperation, and freedom from recurrent mitral regurgitation.hard clinical
Minimally invasive mitral valve repair through right minithoracotomy for degenerative mitral regurgitation is safe and associated with excellent long-term survival and freedom from reoperation.
Limitations
- Retrospective analysis with potential bias
- Database could not distinguish between Barlow MV disease and fibroelastic disease
- No information on anterior or posterior leaflet disease
- Echocardiographic follow-up completed by only 70% of patients
- No retrospective comparison with conventional surgery
Cite This Study
Miceli et al. (2015) studied this question.
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