Single-Center Experience with Minimally Invasive Mitral Operations through Right Minithoracotomy

Kód výsledku v IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00179906%3A_____%2F19%3A10380873" target="_blank" >RIV/00179906:_____/19:10380873 - isvavai.cz</a>

Nalezeny alternativní kódy

RIV/00216208:11150/19:10380873

Výsledek na webu

<a href="https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=P_E.6B_u5H" target="_blank" >https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=P_E.6B_u5H</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.5761/atcs.oa.18-00100" target="_blank" >10.5761/atcs.oa.18-00100</a>

Jazyk výsledku

angličtina

Název v původním jazyce

Single-Center Experience with Minimally Invasive Mitral Operations through Right Minithoracotomy

Popis výsledku v původním jazyce

Background: To report single-institution experience with minimally invasive mitral valve operations through the right minithoracotomy over a 5-year period. Methods: Patients who underwent minimally invasive mitral valve surgery (MIMVS) between January 2012 and December 2016 were included. Clinical follow-up data were collected in a prospective database and analyzed retrospectively. Results: Data from 151 patients were assessed (mean age, 63.4 +- 9.7 years; 55% were females). Overall 30-day mortality was 0.7% (n = 1). Mean operating time, cardiopulmo-nary bypass, and aortic cross-clamp times were 254.9 +- 48.7, 140.5 +- 36.1, and 94.8 +- 27.0 minutes, respectively. Associated procedures were tricuspid valve annuloplasty (37.1%, n = 56) and closure of atrial septal defect (6.0%, n = 9). Cryoablation was performed in 43.7% of patients (n = 66). One patient (0.7%) required conversion to median sternotomy and six patients (4.0%) underwent re-explorations due to bleeding. Median postoperative hospital stay was 12 days. Overall survival at 5 years was 94.1% +- 2.0%. Freedom from reoperation was 94.6% +- 2.9% at 5 years. Conclusions: MIMVS is a feasible, safe, and reproducible approach with low mortality and morbidity. Mitral valve surgery through a small thoracotomy is a good alternative to conventional surgical access.

Název v anglickém jazyce

Single-Center Experience with Minimally Invasive Mitral Operations through Right Minithoracotomy

Popis výsledku anglicky

Background: To report single-institution experience with minimally invasive mitral valve operations through the right minithoracotomy over a 5-year period. Methods: Patients who underwent minimally invasive mitral valve surgery (MIMVS) between January 2012 and December 2016 were included. Clinical follow-up data were collected in a prospective database and analyzed retrospectively. Results: Data from 151 patients were assessed (mean age, 63.4 +- 9.7 years; 55% were females). Overall 30-day mortality was 0.7% (n = 1). Mean operating time, cardiopulmo-nary bypass, and aortic cross-clamp times were 254.9 +- 48.7, 140.5 +- 36.1, and 94.8 +- 27.0 minutes, respectively. Associated procedures were tricuspid valve annuloplasty (37.1%, n = 56) and closure of atrial septal defect (6.0%, n = 9). Cryoablation was performed in 43.7% of patients (n = 66). One patient (0.7%) required conversion to median sternotomy and six patients (4.0%) underwent re-explorations due to bleeding. Median postoperative hospital stay was 12 days. Overall survival at 5 years was 94.1% +- 2.0%. Freedom from reoperation was 94.6% +- 2.9% at 5 years. Conclusions: MIMVS is a feasible, safe, and reproducible approach with low mortality and morbidity. Mitral valve surgery through a small thoracotomy is a good alternative to conventional surgical access.

Druh

J_imp - Článek v periodiku v databázi Web of Science

CEP obor

—

OECD FORD obor

30201 - Cardiac and Cardiovascular systems

Projekt

—

Návaznosti

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Rok uplatnění

2019

Kód důvěrnosti údajů

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Název periodika

Annals of Thoracic and Cardiovascular Surgery

ISSN

1341-1098

e-ISSN

—

Svazek periodika

25

Číslo periodika v rámci svazku

1

Stát vydavatele periodika

JP - Japonsko

Počet stran výsledku

8

Strana od-do

18-25

Kód UT WoS článku

000459377900003

EID výsledku v databázi Scopus

2-s2.0-85061959194