Robotic mitral valve repair in patients with thoracic deformity resulted in similar aortic cross-clamp times (80 vs. 80 min) and comparable clinical outcomes compared to patients without deformity.
Cohort
No
Does robotic mitral valve repair provide comparable operative times and surgical outcomes in patients with thoracic deformity compared to those without?
359 patients undergoing robotic mitral valve repair (MVr) for degenerative mitral regurgitation between 2018 and 2022. Patients were divided into a thoracic deformity group (Group D, Haller index ≥3.25, n=35) and a non-deformity group (Group N, Haller index <3.25, n=324).
Robotic mitral valve repair in patients with thoracic deformity (Haller index ≥3.25)
Robotic mitral valve repair in patients without thoracic deformity (Haller index <3.25)
Operative times (including aortic cross-clamp time) and early surgical outcomes
Robotic mitral valve repair is safe and effective in patients with thoracic deformity, yielding comparable operative times and clinical outcomes to those without deformity.
Background: Robotic mitral valve repair (MVr) offers superior visualization and dexterity, potentially overcoming challenges in severe thoracic deformity such as pectus excavatum. This study compared surgical outcomes after MVr in patients with and without thoracic deformity and assessed the impact of thoracic deformity on operative times in robotic MVr.
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Satoru Tomita
Takashi Kakuta
Satoshi Kainuma
Circulation Reports
National Cerebral and Cardiovascular Center
Cardiovascular Institute Hospital
Cardiovascular Research Center
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Tomita et al. (Fri,) conducted a cohort in Degenerative mitral regurgitation (n=359). Robotic mitral valve repair in patients with thoracic deformity (Haller index ≥3.25) vs. Robotic mitral valve repair in patients without thoracic deformity (Haller index <3.25) was evaluated on Aortic cross-clamp time (p=0.969). Robotic mitral valve repair in patients with thoracic deformity resulted in similar aortic cross-clamp times (80 vs. 80 min) and comparable clinical outcomes compared to patients without deformity.
www.synapsesocial.com/papers/69e5c22d03c2939914028974 — DOI: https://doi.org/10.1253/circrep.cr-26-0003
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