Minimally Invasive Heart Valve Surgery Reduces Length of Hospital Stay and Costs: A Single Tertiary Centre Experience

2018 ◽  
Vol 27 ◽  
pp. S552
Author(s):  
Jianye Chen ◽  
Lowell Leow ◽  
Sherlyn Tham ◽  
Yijie Chew ◽  
Peggy Hu ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Hospital Stay ◽  
Heart Valve ◽  
Length Of Hospital Stay ◽  
Valve Surgery ◽  
Heart Valve Surgery ◽  
Tertiary Centre

scholarly journals Establishment of an enhanced recovery after surgery protocol in minimally invasive heart valve surgery

PLoS ONE ◽  
2020 ◽  
Vol 15 (4) ◽  
pp. e0231378
Author(s):  
Jens C. Kubitz ◽  
Leonie Schulte-Uentrop ◽  
Christian Zoellner ◽  
Melanie Lemke ◽  
Aurelie Messner-Schmitt ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Heart Valve ◽  
Enhanced Recovery ◽  
Enhanced Recovery After Surgery ◽  
Valve Surgery ◽  
Heart Valve Surgery

scholarly journals Use of Suture tightening automated device COR-KNOT® for minimally invasive heart valve surgery: Our initial experience in Bangladesh

2019 ◽  
Vol 34 (2) ◽  
pp. 127-131
Author(s):  
Md Faizus Sazzad ◽  
Nusrat Ghafoor ◽  
Siba Pada Roy ◽  
Swati Munshi ◽  
Feroza Khanam ◽  
...  
Keyword(s):  
Mitral Valve ◽  
Minimally Invasive ◽  
Valve Replacement ◽  
Mitral Valve Replacement ◽  
Heart Valve ◽  
Mitral Valve Repair ◽  
Case Series ◽  
Valve Surgery ◽  
Heart Valve Surgery ◽  
Valve Repair

Background: COR-KNOT® (LSI Solutions, New York, NY, USA) is an automated suture securing device has not been well known. We report a case series for first automated knotting device used for minimally invasive heart valve surgery in Bangladesh. Method and Results: To overcome the challenge of knot securing via a Key-Hole surgery we have used CORKNOT ®. The newest device is capable of remotely and automatically secure sutures and simultaneously can cut and remove the excess suture tails. We covered the spectrum of heart valve surgery: There was one case of bioprosthetic aortic valve replacement, one case of mitral valve repair, one case of bioprosthetic mitral valve replacement, one case of failed mitral valve repair with COR-KNOT® explantation followed by mechanical mitral valve replacement and one case of redo-mitral valve replacement. Average length of hospital stays was 5 ± 1days. There was one reopening, one post-operative atrial fibrillation. No wound infection and no 30day mortality. Conclusion: We conclude, COR-KNOT® is a safe and effective tool to reduce the duration of operation. Clinical outcome of heart valve surgery with COR-KNOT® is comparable with other methods of suture tying methods. Bangladesh Heart Journal 2019; 34(2) : 127-131

Combined PCI and minimally invasive heart valve surgery for high-risk patients

2009 ◽  
Vol 11 (6) ◽  
pp. 492-498 ◽  
Author(s):  
Ramanan Umakanthan ◽  
Marzia Leacche ◽  
Michael R. Petracek ◽  
David X. Zhao ◽  
John G. Byrne
Keyword(s):  
High Risk ◽  
Minimally Invasive ◽  
Heart Valve ◽  
Valve Surgery ◽  
Heart Valve Surgery ◽  
High Risk Patients ◽  
Risk Patients

RF30 INTEGRATED PERCUTANEOUS AND MINIMALLY INVASIVE APPROACH FOR HEART VALVE SURGERY

2018 ◽  
Vol 19 ◽  
pp. e43
Author(s):  
F. Cammertoni ◽  
P. Bruno ◽  
A. Mazza ◽  
N. Pavone ◽  
P. Farina ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Heart Valve ◽  
Valve Surgery ◽  
Heart Valve Surgery ◽  
Minimally Invasive Approach ◽  
Invasive Approach

scholarly journals Minimally invasive heart valve surgery: influence on coagulation and inflammatory response†

2017 ◽  
Vol 25 (2) ◽  
pp. 225-232 ◽  
Author(s):  
Domenico Paparella ◽  
Crescenzia Rotunno ◽  
Pietro Guida ◽  
Mattia Travascia ◽  
Micaela De Palo ◽  
...  
Keyword(s):  
Inflammatory Response ◽  
Minimally Invasive ◽  
Heart Valve ◽  
Valve Surgery ◽  
Heart Valve Surgery

Operative Outcomes of Concomitant Minimally Invasive Mitral and Tricuspid Valve Surgery

2019 ◽  
Vol 14 (5) ◽  
pp. 412-418
Author(s):  
Arman Kilic ◽  
Wilson Y. Szeto ◽  
Pavan Atluri ◽  
Michael A. Acker ◽  
W. Clark Hargrove
Keyword(s):  
Minimally Invasive ◽  
Hospital Stay ◽  
Tricuspid Valve ◽  
Operative Mortality ◽  
Length Of Hospital Stay ◽  
Valve Surgery ◽  
Operative Outcomes ◽  
Tricuspid Valve Surgery ◽  
Port Access ◽  
Access Right

Objective The aim of this study was to evaluate whether the addition of concomitant tricuspid valve surgery (TVS) negatively impacted operative outcomes of minimally invasive mitral valve surgery (MIMVS). Methods Patients undergoing MIMVS via a port-access right minithoracotomy between 2002 and 2014 at a single institution were reviewed. Patients were primarily stratified by those undergoing isolated MIMVS versus MIMVS+TVS. Propensity-matched cohorts were generated. Operative outcomes were compared between the propensity-matched cohorts and included operative mortality, complications, and length of hospital stay. Results A total of 1,158 patients underwent MIMVS via port-access right minithoracotomy. The majority of cases were elective (93%; n = 1,071) and 148 (13%) underwent concomitant MIMVS + TVS. Patients undergoing MIMVS + TVS were at higher risk at baseline. After propensity-matching, there were 119 isolated MIMVS and 119 MIMVS + TVS patients that were well matched with respect to all baseline variables. Cardiopulmonary bypass (148 ± 54 minutes versus 175 ± 54 minutes, P < 0.001) and aortic occlusion times (105 ± 36 minutes versus 128 ± 40 minutes, P < 0.001) were longer in the MIMVS + TVS group. Operative mortality was comparable (3% isolated MIMVS versus 4% for MIMVS + TVS; P = 0.73). Permanent pacemakers were required less frequently in the isolated MIMVS group (1% versus 6%; P = 0.03). All other complication rates were similar. Median length of hospital stay (7 versus 8 days; P = 0.13) and discharge-to-home rates (89% versus 94%; P = 0.15) were comparable. Conclusions Despite longer operative times, minimally invasive TVS performed concomitantly with MIMVS has similar operative outcomes with the exception of a higher pacemaker rate when compared with isolated MIMVS.

Psychological Effects of Skin Incision Size in Minimally Invasive Valve Surgery Patients

2020 ◽  
Vol 15 (6) ◽  
pp. 532-540
Author(s):  
Alessandra Piarulli ◽  
Giovanni Alfonso Chiariello ◽  
Piergiorgio Bruno ◽  
Federico Cammertoni ◽  
Alessia Rabini ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Body Image ◽  
Minimally Invasive ◽  
Heart Valve ◽  
Well Being ◽  
Psychological Tests ◽  
Valve Surgery ◽  
Psychological Status ◽  
Heart Valve Surgery

Objective Clinical benefits of minimally invasive cardiac valve surgery (MIVS) have been reported. Improved postoperative mental status was never analyzed with dedicated psychological tests. In the present study we intend to investigate potential benefits of MIVS for patient psychological well-being, with special attention to the relevance of the patient perception of the chest surgical scar, of the self body image and cosmetic aspects. Methods Between 2016 and 2017, 87 eligible patients, age 66.5 ± 14.5 years, operated on for heart valve surgery, underwent either conventional full sternotomy (CS; n = 48) or MIVS by V-shape hemi-sternotomy approach ( n = 39). Before selection of the surgical approach, patients had undergone preoperative evaluation of their psychological status using Beck Depression Inventory-II (BDI-II), State-Trait Anxiety Inventory Form Y (STAI-Y), and EuroQol-5D (EQ-5D) psychological tests. Six months postoperatively, patients filled in dedicated questionnaires to assess their psychological status, quality of life, and subjective perception, thus repeating the above-mentioned tests and adding the Body Image Questionnaire (BIQ) and Patient and Observer Scar Assessment Scale (POSAS) v2.0 tests for scar-healing process evaluation. Results No patient died during the study.The 4 post-test scales of psychological well-being (BDI-II P = 0.04, STAI-Y P = 0.04, 2 indices of EQ-5D P = 0.03, P = 0.01) showed significant differences between the MIVS group and CS group, with MIVS-small incision patients having lower level of depression and anxiety symptoms and better quality of life. Mean score differences of scar perception (BIQ and POSAS v2.0) were significant, with MIVS patients having evaluated the scar quality significantly better than CS patients. Conclusions MIVS appears associated with significant esthetical and related psychological benefits, as documented by technical tests. These findings should be considered when selecting the most appropriate technique for heart valve surgery.

Minimally Invasive Heart Valve Surgery

2017 ◽  
Vol 33 (9) ◽  
pp. 1129-1137 ◽  
Author(s):  
Ismail Bouhout ◽  
Marie-Catherine Morgant ◽  
Denis Bouchard
Keyword(s):  
Minimally Invasive ◽  
Heart Valve ◽  
Valve Surgery ◽  
Heart Valve Surgery
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