Minimally Invasive Concomitant Aortic And Mitral Valve Surgery - Initial Experience Of A Single Centre

Authors

  • Daniel Martins Serviço de Cirurgia Cardiotorácica, Centro Hospitalar Vila Nova de Gaia/Espinho, Vila Nova de Gaia, Portugal https://orcid.org/0000-0002-6716-4224
  • João Lopes Cardoso Serviço de Cirurgia Cardiotorácica, Centro Hospitalar Vila Nova de Gaia/Espinho, Vila Nova de Gaia, Portugal https://orcid.org/0000-0002-4037-0968
  • Sara Costa Serviço de Cirurgia Cardiotorácica, Centro Hospitalar Vila Nova de Gaia/Espinho, Vila Nova de Gaia, Portugal https://orcid.org/0000-0001-9825-7493
  • João Pedro Monteiro Serviço de Cirurgia Cardiotorácica, Centro Hospitalar Vila Nova de Gaia/Espinho, Vila Nova de Gaia, Portugal https://orcid.org/0000-0003-1784-2725
  • Fátima Neves Serviço de Cirurgia Cardiotorácica, Centro Hospitalar Vila Nova de Gaia/Espinho, Vila Nova de Gaia, Portugal

DOI:

https://doi.org/10.48729/pjctvs.359

Keywords:

Minimally Invasive Surgery, Aortic Valve, Mitral Valve, Thoracotomy

Abstract

Introduction: Valve surgery through a median sternotomy has been the standard approach, but in the past decade various minimally invasive procedures have gained increasing traction among physicians and patients.

Materials and Methods: We present a series of three patients submitted to minimally invasive combined aortic and mitral valve surgery, performed through right lateral thoracotomy.

Results: We report no postoperative complication or mortality. Mean length of stay was 5 days, with a self-reported pain score 2/5 (mild/annoying pain).

Conclusions: We report our initial experience, describing surgical technique and postoperative results, showing this technique to be safe, reproductible and comparable to conventional surgery.

Downloads

Download data is not yet available.

References

Navia JL, Cosgrove DM. Minimally invasive mitral valve operations. Ann Thorac Surg. 1996;62(5):1542–4.

Cohn LH, Adams DH, Couper GS, Bichell DP, Rosborough DM, Sears SP, et al. Minimally invasive cardiac valve surgery improves patient satisfaction while reducing costs of cardiac valve re- placement and repair. Ann Surg. 1997;226(4):421–8.

Valdez GD, Mihos CG, Santana O, Heimowitz TB, Goldszer R,

Lamas GA, et al. Incidence of postoperative acute kidney injury in patients with chronic kidney disease undergoing minimally invasive valve surgery. J Thorac Cardiovasc Surg [Internet]. 2013;146(6):1488–93. Available from: http://dx.doi. org/10.1016/j.jtcvs.2013.06.034

Santana O, Reyna J, Benjo AM, Lamas GA, Lamelas J. Outcomes of minimally invasive valve surgery in patients with chronic obstructive pulmonary disease. Eur J Cardio-thoracic Surg. 2012;42(4):648–52.

Mihos CG, Santana O, Lamas GA, Lamelas J. Outcomes of right minithoracotomy mitral valve surgery in patients with previous sternotomy. Ann Thorac Surg [Internet]. 2011;91(6):1824– 7. Available from: http://dx.doi.org/10.1016/j.athorac- sur.2011.02.010

Pineda AM, Santana O, Lamas GA, Lamelas J. Is a minimally invasive approach for re-operative aortic valve replacement superior to standard full resternotomy? Interact Cardiovasc Thorac Surg. 2012;15(2):248–52.

Lamelas J, Sarria A, Santana O, Pineda AM, Lamas GA. Out- comes of minimally invasive valve surgery versus median sternotomy in patients age 75 years or greater. Ann Thorac Surg [Internet]. 2011;91(1):79–84. Available from: http://dx.doi. org/10.1016/j.athoracsur.2010.09.019

Santana O, Reyna J, Grana R, Buendia M, Lamas GA, Lamelas J. Outcomes of minimally invasive valve surgery versus standard sternotomy in obese patients undergoing isolated valve surgery. Ann Thorac Surg [Internet]. 2011;91(2):406–10. Available from: http://dx.doi.org/10.1016/j.athoracsur.2010.09.039

Lee R, Li S, Rankin JS, O’Brien SM, Gammie JS, Peterson ED, et al. Fifteen-year outcome trends for valve surgery in North America. Ann Thorac Surg. 2011;91(3):677–84.

Vassileva CM, Li S, Thourani VH, Suri RM, Williams ML, Lee R, et al. Outcome characteristics of multiple-valve surgery: Comparison with single-valve procedures. Innov Technol Tech Cardiothorac Vasc Surg. 2014;9(1):27–32.

Cosgrove DM, Sabik JF, Navia JL. Minimally invasive valve operations. Ann Thorac Surg. 1998;65(6):1535–9.

Karagoz HY, Bayazit K, Battaloglu B, Kurtoglu M, Ozerdem G, Bakkaloglu B, et al. Minimally invasive mitral valve surgery: The subxiphoid approach. Ann Thorac Surg. 1999;67(5):1328–32.

Pope NH, Ailawadi G. Minimally invasive valve surgery. J Cardiovasc Transl Res. 2014;7(4):387–94.

Dagenais F. Minimally invasive mitral valve surgery: evolution, techniques and outcomes. Future Cardiol [Internet]. 2008 Nov;4(6):609–16. Available from: https://www.futuremedicine. com/doi/10.2217/14796678.4.6.609

Lamelas J. Minimally invasive concomitant aortic and mitral valve surgery: the “Miami Method”. Ann Cardiothorac Surg [In- ternet]. 2015;4(1):33–7. Available from: http://www.ncbi.nlm. nih.gov/pubmed/25694974%0Ahttp://www.pubmedcentral. nih.gov/articlerender.fcgi?artid=PMC4311167

Sharony R, Grossi EA, Saunders PC, Schwartz CF, Ursomanno P, Ribakove GH, et al. Minimally invasive reoperative iso- lated valve surgery: Early and mid-term results. J Card Surg. 2006;21(3):240–4.

Mihaljevic T, Cohn LH, Unic D, Aranki SF, Couper GS, Byrne JG, et al. One thousand minimally invasive valve operations: Early and late results. Ann Surg. 2004;240(3):529–34.

Modi P, Hassan A, Chitwood WR. Minimally invasive mitral valve surgery: a systematic review and meta-analysis. Eur J Cardio-thoracic Surg. 2008;34(5):943–52.

Lucà F, Van Garsse L, Rao CM, Parise O, La Meir M, Puntrello C, et al. Minimally invasive mitral valve surgery: A systematic review. Minim Invasive Surg. 2013;2013.

Downloads

Published

07-07-2023

How to Cite

1.
Martins D, Lopes Cardoso J, Costa S, Monteiro JP, Neves F. Minimally Invasive Concomitant Aortic And Mitral Valve Surgery - Initial Experience Of A Single Centre. Rev Port Cir Cardiotorac Vasc [Internet]. 2023 Jul. 7 [cited 2024 Apr. 27];30(2):15-8. Available from: https://pjctvs.com/index.php/journal/article/view/359

Issue

Section

Original Articles

Categories

Most read articles by the same author(s)