Tricuspid valve surgery in high risk patients: A single institutional experience with the technique of minimally invasive surgery via right mini-thoracotomy

2014 ◽  
Vol 62 (S 01) ◽  
Author(s):  
J.-P. Minol ◽  
U. Boeken ◽  
T. Weinreich ◽  
P. Akhyari ◽  
H. Gramsch-Zabel ◽  
...  
Keyword(s):  
Minimally Invasive Surgery ◽  
High Risk ◽  
Minimally Invasive ◽  
Tricuspid Valve ◽  
Invasive Surgery ◽  
Valve Surgery ◽  
Tricuspid Valve Surgery ◽  
Risk Patients ◽  
Institutional Experience ◽  
Mini Thoracotomy

Right Mini-Thoracotomy for Aortic Plus Mitral with or without Tricuspid Valve Surgery

2020 ◽  
Author(s):  
Gloria Faerber ◽  
Sophie Tkebuchava ◽  
André Scherag ◽  
Maximilian Bley ◽  
Hristo Kirov ◽  
...  
Keyword(s):  
Mitral Valve ◽  
Propensity Score ◽  
Minimally Invasive ◽  
Propensity Score Matching ◽  
Tricuspid Valve ◽  
Valve Surgery ◽  
Tricuspid Valve Surgery ◽  
Triple Valve ◽  
Mini Thoracotomy

Abstract Objectives Minimally invasive surgery is increasingly performed for isolated aortic or mitral valve procedures. However, combined minimally invasive aortic and mitral valve surgery is rare. We report our initial experience performing multiple valve procedures through a right-sided mini-thoracotomy (RMT) compared with sternotomy. Methods A total of 264 patients underwent aortic and mitral with or without tricuspid valve surgery through RMT (n = 25) or sternotomy (n = 239). Propensity score matching was used for outcome comparisons. Results Of the 264 patients, 25 (age: 72 ± 10 years; 72% male) underwent double (n = 19) and triple valve surgery (n = 6) through RMT and 239 (age: 71 ± 11 years; 54% male) underwent double (n = 176) and triple valve surgery (n = 63) through sternotomy. Sternotomy patients had more co-morbidities and preoperative risk factors (EuroSCORE II 10.25 ± 10.89 vs. RMT 3.58. ± 4.98; p < 0.001). RMT procedures were uneventful without intraoperative complications or conversions to sternotomy. After propensity score matching, surgical procedures were comparable between groups with a higher valve repair rate in RMT. Despite longer cardiopulmonary bypass times in RMT, there was no evidence for differences in 30-day mortality (RMT: n = 2 vs. sternotomy: n = 2) and there were no significant differences in other outcomes. During 5-year follow-up, reoperation was required in sternotomy patients only (n = 2). Follow-up echocardiography showed durable results after valve surgery. RMT patients showed higher survival probability compared with sternotomy, although this difference was not significant (hazard ratio = 0.33; 95% confidence interval: 0.06–1.65; p = 0.18). Conclusion Combined aortic plus mitral with or without tricuspid valve surgery can safely be performed through a RMT with a trend toward better mid-term outcomes.

scholarly journals Minimally invasive tricuspid valve surgery in patients at high risk

2014 ◽  
Vol 147 (3) ◽  
pp. 996-1001 ◽  
Author(s):  
Davide Ricci ◽  
Massimo Boffini ◽  
Cristina Barbero ◽  
Suad El Qarra ◽  
Giovanni Marchetto ◽  
...  
Keyword(s):  
High Risk ◽  
Minimally Invasive ◽  
Tricuspid Valve ◽  
Valve Surgery ◽  
Tricuspid Valve Surgery

scholarly journals Minimally invasive valve surgery in high-risk patients

2017 ◽  
Vol 9 (S7) ◽  
pp. S614-S623 ◽  
Author(s):  
Orlando Santana ◽  
Steve Xydas ◽  
Roy F. Williams ◽  
S. Howard Wittels ◽  
Evin Yucel ◽  
...  
Keyword(s):  
High Risk ◽  
Minimally Invasive ◽  
Valve Surgery ◽  
High Risk Patients ◽  
Risk Patients ◽  
Minimally Invasive Valve Surgery

Long-term oncological safety of minimally invasive surgery in high-risk endometrial cancer

2016 ◽  
Vol 65 ◽  
pp. 185-191 ◽  
Author(s):  
Martin Koskas ◽  
Marta Jozwiak ◽  
Marie Fournier ◽  
Ignace Vergote ◽  
Hans Trum ◽  
...  
Keyword(s):  
Endometrial Cancer ◽  
Minimally Invasive Surgery ◽  
High Risk ◽  
Minimally Invasive ◽  
Invasive Surgery ◽  
Oncological Safety
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