scholarly journals Mitral Valve Surgery via a Right Infra-axillary Thoracotomy in High-Risk Reoperative Patients

2020 ◽  
Vol 23 (2) ◽  
pp. E200-E204
Author(s):  
Hailong Cao ◽  
Qing Zhou ◽  
Yunxing Xue ◽  
Fudong Fan ◽  
Dongjin Wang
Keyword(s):  
High Risk ◽  
Mitral Valve ◽  
Injury Risk ◽  
Mitral Valve Surgery ◽  
Valve Surgery ◽  
Patient Comfort ◽  
Dense Adhesion ◽  
Risk Patients ◽  
Valve Function

Background: A right infra-axillary thoracotomy can offer excellent exposure of the mitral valve. This study evaluated this incision for high-risk patients undergoing redo mitral valve procedures. Methods: Of a series of 189 patients who had redo mitral valve surgery, 32 were reoperated via vertical infra-axillary thoracotomy based on previous aortic valve replacement, dense adhesion, location of patent bypass grafts, and peripheral vascular disease. Results: Sternotomy was avoided in all cases. The mitral valve was replaced in 22 patients and repaired in 10 patients; left atrial folding was performed in 6 patients. All patients had uneventful outcomes and normal valve function during follow-up. Conclusions: Reoperative mitral valve surgeries can be performed safely using right infra-axillary thoracotomy in certain patients. The procedure offers excellent exposure of the mitral valve and minimizes the need for cardiac dissection, thus reducing injury risk. Avoiding a high risk of resternotomy increases patient comfort and safety.

Outcome analysis for prediction of intraaortic balloon pump support failure and long‐term survival in high‐risk patients undergoing mitral valve surgery

2020 ◽  
Vol 44 (8) ◽  
pp. 827-836
Author(s):  
Mengya Liang ◽  
Chaoqun Wang ◽  
Kangni Feng ◽  
Guangxian Chen ◽  
Keke Wang ◽  
...  
Keyword(s):  
High Risk ◽  
Mitral Valve ◽  
Mitral Valve Surgery ◽  
Valve Surgery ◽  
Outcome Analysis ◽  
Intraaortic Balloon ◽  
Intraaortic Balloon Pump ◽  
Term Survival ◽  
Risk Patients

Beating Heart Video-Assisted Mitral Valve Surgery: A Useful Technique for High-Risk Patients

2009 ◽  
Vol 24 (3) ◽  
pp. 312-314 ◽  
Author(s):  
Saqib Masroor ◽  
Garland Dance ◽  
Stephen J. Angeli
Keyword(s):  
High Risk ◽  
Mitral Valve ◽  
Mitral Valve Surgery ◽  
Beating Heart ◽  
Valve Surgery ◽  
High Risk Patients ◽  
Video Assisted ◽  
Risk Patients

Minimally Invasive Mitral Valve Surgery in Truly High-Risk Patients: Are We Pushing the Boundaries? An Observational Study

2015 ◽  
Vol 10 (5) ◽  
pp. 328-333 ◽  
Author(s):  
Marco Moscarelli ◽  
Rafik Margaryan ◽  
Alfredo Cerillo ◽  
Enkel Kallushi ◽  
Pierandrea Farneti ◽  
...  
Keyword(s):  
High Risk ◽  
Mitral Valve ◽  
Minimally Invasive ◽  
Mitral Valve Surgery ◽  
Valve Surgery ◽  
Tricuspid Valve Repair ◽  
Discrimination Power ◽  
High Risk Patients ◽  
Risk Patients

Objective This study aimed to assess in a retrospective series of truly high-risk patients who underwent minimally invasive mitral valve surgery: (1) postoperative and long-term results and (2) logistic EuroSCORE and EuroSCORE II discrimination power. Methods Between 2003 and 2013, we reviewed in our institution patients who underwent minimally invasive mitral valve surgery with or without tricuspid valve repair via right minithoracotomy with logistic EuroSCORE of 20 or higher. Results Among a total number of 1604, 88 patients were identified. Median logistic and EuroSCORE II was 27.29 (interquartile range, 15.3) and 12.7% (11.3%), respectively. Mean (SD) age was 71.9 (8.4) years; 42 were female (47.7%); 60 patients (68.1%) underwent previous sternotomy. Mitral valve was replaced in 59 (67%) and repaired in 29 (32.9%) patients; tricuspid valve repair was performed in 23 patients (26.1%). Median cardiopulmonary bypass and cross-clamp times were 157 minutes (interquartile range, 131–187 minutes) and 83 minutes (81–116 minutes), respectively; conversion to sternotomy and reopening for bleeding was necessary in 4 (4.5%) and 3 (3.4%) patients; permanent and transient neurological injuries were reported in 6 (6.8%) and 3 (3.4%) patients; acute kidney injury was reported in 13 patients (14.7%); 15 patients (17%) had pulmonary complications. Ten patients died while in the hospital (11.2%). Survival at 6 years was 78% (95% confidence interval, 69–88). Conclusions In this series of truly high-risk patients, minimally invasive mitral surgery was associated with acceptable early mortality and morbidity as well as long-term outcomes; both logistic and EuroSCORE II showed suboptimal discrimination power.

OC42 MINIMALLY INVASIVE MITRAL VALVE SURGERY IN HIGH-RISK PATIENTS

2018 ◽  
Vol 19 ◽  
pp. e4
Author(s):  
E. Cura Stura ◽  
D. Ricci ◽  
G. Marchetto ◽  
C. Barbero ◽  
S. El Qarra ◽  
...  
Keyword(s):  
High Risk ◽  
Mitral Valve ◽  
Minimally Invasive ◽  
Mitral Valve Surgery ◽  
Valve Surgery ◽  
High Risk Patients ◽  
Risk Patients

Minimally Invasive Mitral Valve Surgery in Truly High-Risk Patients: Are We Pushing the Boundaries? An Observational Study

2015 ◽  
Vol 10 (5) ◽  
pp. 328-333
Author(s):  
Marco Moscarelli ◽  
Rafik Margaryan ◽  
Alfredo Cerillo ◽  
Enkel Kallushi ◽  
Pierandrea Farneti ◽  
...  
Keyword(s):  
High Risk ◽  
Mitral Valve ◽  
Observational Study ◽  
Minimally Invasive ◽  
Mitral Valve Surgery ◽  
Valve Surgery ◽  
High Risk Patients ◽  
Risk Patients

Impella 5.0 as short‐term mechanical circulatory support following mitral valve surgery in high risk patients

2019 ◽  
Vol 43 (12) ◽  
pp. 1182-1184 ◽  
Author(s):  
Anja Osswald ◽  
Bastian Schmack ◽  
Arjang Ruhparwar
Keyword(s):  
High Risk ◽  
Mitral Valve ◽  
Mechanical Circulatory Support ◽  
Mitral Valve Surgery ◽  
Valve Surgery ◽  
Circulatory Support ◽  
Short Term ◽  
High Risk Patients ◽  
Risk Patients

scholarly journals Minimally invasive mitral valve surgery in high-risk patients: operating outside the boxplot

2016 ◽  
Vol 22 (6) ◽  
pp. 756-761 ◽  
Author(s):  
Marco Moscarelli ◽  
Alfredo Cerillo ◽  
Thanos Athanasiou ◽  
Pierandrea Farneti ◽  
Giacomo Bianchi ◽  
...  
Keyword(s):  
High Risk ◽  
Mitral Valve ◽  
Minimally Invasive ◽  
Mitral Valve Surgery ◽  
Valve Surgery ◽  
High Risk Patients ◽  
Risk Patients

scholarly journals Can we use minimally invasive mitral valve surgery as a safe alternative to sternotomy in high-risk patients?: Table 1:

2015 ◽  
Vol 22 (1) ◽  
pp. 92-96 ◽  
Author(s):  
Marco Moscarelli ◽  
Roberto Casula ◽  
Giuseppe Speziale ◽  
Thanos Athanasiou
Keyword(s):  
High Risk ◽  
Mitral Valve ◽  
Minimally Invasive ◽  
Mitral Valve Surgery ◽  
Valve Surgery ◽  
Safe Alternative ◽  
High Risk Patients ◽  
Risk Patients

scholarly journals What Is the Role of Minimally Invasive Mitral Valve Surgery in High-Risk Patients? A Meta-Analysis of Observational Studies

2016 ◽  
Vol 101 (3) ◽  
pp. 981-989 ◽  
Author(s):  
Marco Moscarelli ◽  
Khalil Fattouch ◽  
Roberto Casula ◽  
Giuseppe Speziale ◽  
Patrizio Lancellotti ◽  
...  
Keyword(s):  
High Risk ◽  
Mitral Valve ◽  
Minimally Invasive ◽  
Observational Studies ◽  
Meta Analysis ◽  
Mitral Valve Surgery ◽  
Valve Surgery ◽  
High Risk Patients ◽  
Risk Patients

Long term follow-up in quality of life after mitral valve surgery

2012 ◽  
Vol 60 (S 01) ◽  
Author(s):  
I Kammerer ◽  
M Höhn ◽  
AH Kiessling ◽  
S Becker ◽  
FU Sack
Keyword(s):  
Quality Of Life ◽  
Mitral Valve ◽  
Mitral Valve Surgery ◽  
Valve Surgery ◽  
Long Term Follow Up
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