Erschienen in:
01.11.2015 | Valvular Heart Disease (J Passeri, Section Editor)
Minimally Invasive Mitral Valve Surgery via Mini-Thoracotomy: Current Update
verfasst von:
Serguei I. Melnitchouk, MD, MPH, Jacob P. Dal-Bianco, MD, Michael A. Borger, MD, PhD
Erschienen in:
Current Treatment Options in Cardiovascular Medicine
|
Ausgabe 11/2015
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Opinion statement
In recent years, minimally invasive mitral valve surgery (MIMVS) has established itself as an alternative and increasingly used option for patients with mitral valve (MV) pathology. MIMVS is associated with a very low perioperative morbidity and mortality rate in appropriately selected patients, comparable to a full sternotomy approach. Besides superior cosmetic results, patients after MIMVS enjoy shorter recovery times and earlier returns to full activity. A number of approaches are branded as minimally invasive, but the most widely used one entails peripheral cardiopulmonary bypass and a small right anterolateral mini-thoracotomy. The operative technique and outcomes of this approach are summarized in the current update.