Key result
Minimally invasive mitral valve repair showed no significant differences in clinical outcomes compared to conventional repair, but resulted in shorter ICU stays and longer bypass times.
Why the study?
Does minimally invasive mitral valve repair improve clinical outcomes compared to conventional mitral valve repair in patients with degenerative mitral valve disease?
Population
Patients with degenerative mitral valve disease (7 studies: 1 RCT and 6 retrospective studies)
Comparison
Minimally invasive mitral valve repair through a… vs Conventional mitral valve repair (sternotomy)
Design
Meta-analysis
Authors
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Supports minimally invasive repair to shorten ICU stays; confirms outcome equivalence to conventional surgery in degenerative mitral disease.
Meta-Analysis
Does minimally invasive mitral valve repair improve clinical outcomes compared to conventional mitral valve repair in patients with degenerative mitral valve disease?
Minimally invasive mitral valve repair offers similar clinical outcomes to conventional repair for degenerative mitral disease, with the benefit of shorter ICU stays at the cost of longer procedural times.
Cao et al. (2013) conducted a meta-analysis in Degenerative mitral valve disease. Minimally invasive mitral valve repair (MIMVR) vs. Conventional mitral valve repair was evaluated on Clinical outcomes including mortality, stroke, renal failure, wound infection, reoperation for bleeding, aortic dissection, myocardial infarction, atrial fibrillation, and readmission. Minimally invasive mitral valve repair showed no significant differences in clinical outcomes compared to conventional repair, but resulted in shorter ICU stays and longer bypass times.
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