Minimal Invasive Mitral Valve Repair Late Outcomes

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Cardiac Surgery, Chaim Sheba Medical Center, Ramat Gan, Israel

Background

The feasibility and safety of minimally invasive mitral valve repair using Port-access approach was previously demonstrated. We report our late outcomes of 100 consecutive cases of port-access approach for mitral valve repair.

 

Methods

From 2004 to 2014, 894 patients underwent mitral valve repair. From this cohort, 100 patients (11%) underwent minimal invasive MV repair (peripheral cannulation, endo-baloon, thoracoscopic assisted). Mean age was 50±12, and 72 were males (72%).

 

Results

There was no early death. Operative, bypass and clamp time were 353±58, 132±26 and 91±19 minutes for the first 50 cases and xxx for the second 50 patients. Mean hospital stay was 5±1 days. Early post-operative echocardiography showed xxx patients had none or trivial MR and xxx of the patients had more than grade 2 MR. Major complications included: reopen in 1 patient, TIA in 2(2%) patients and significant kidney injury in 4(4%) patients (non needed dialysis). Follow up was complete ranged (x-xx months)with mean of 39±33 months, and overall 321 years of patients follow up. At latest follow up 92 (92%) were in NYHA class I or II..

There was 1(1%) late death from unknown reason. Freedom from reoperation due to recurrent MR on the MV was 96%. Late echocardiography revealed that 89(89%) had up to mild MR, 10(10%) moderate and 1(1%) severe MR.

 

Conclusions

Mitral valve repair with minimal invasive port-access approach is safe and has similar late results to conventional median sternotomy approach.









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