Minimally Invasive Approaches to Mitral Valve Surgery Where Are We Now? A Narrative Review

被引：5

作者：

El-Andari, Ryaan ^{[1
]}

Watkins, Abeline R. ^{[2
]}

Fialka, Nicholas M. ^{[1
]}

Kang, Jimmy J. H. ^{[1
]}

Bozso, Sabin J. ^{[1
]}

Hassanabad, Ali Fatehi ^{[3
]}

Vasanthan, Vishnu ^{[3
]}

Adams, Corey ^{[3
]}

Cook, Richard ^{[4
]}

Moon, Michael C. ^{[1
]}

Nagendran, Jeevan ^{[1
]}

Kent, William ^{[3
]}

机构：

[1] Univ Alberta, Dept Surg, Div Cardiac Surg, Edmonton, AB, Canada

[2] Univ Alberta, Fac Med & Dent, Edmonton, AB, Canada

[3] Univ Calgary, Libin Cardiovasc Inst Alberta, Dept Cardiac Sci, Sect Cardiac Surg, Calgary, AB, Canada

[4] St Pauls Hosp, Dept Surg, Vancouver, BC, Canada

来源：

CANADIAN JOURNAL OF CARDIOLOGY | 2024年 / 40卷 / 09期

关键词：

PERCUTANEOUS REPAIR; RIGHT MINITHORACOTOMY; CLINICAL-OUTCOMES; IMPLANTATION; STERNOTOMY; REGURGITATION; EXPERIENCE;

D O I：

10.1016/j.cjca.2024.03.017

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Minimally invasive mitral valve surgery (MiMVS) has been increasing in prevalence. This review focuses on the approaches, clinical outcomes, and patient selection for MiMVS. There are 4 minimally invasive approaches to the mitral valve: right mini-thoracotomy (including video- assisted and fully endoscopic), robotic mitral surgery, and transapical beating heart off-pump neochordal repair. Advantages over conventional surgery include less blood loss and transfusion, improved postoperative mobility, shorter length of stay, less postoperative atrial fi brillation, fewer surgical site infections, and improved cosmesis. This range of minimally invasive techniques will continue to evolve, providing options that are tailored for different patient populations.

引用

页码：1679 / 1689

页数：11

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