Early results of minimally invasive mitral valve surgery: initial series in a public hospital in Australia
Purpose This study analyzes the initial experience with minimally invasive mitral valve surgery through a right minithoracotomy in a public teaching hospital in Australia and evaluates early surgical outcomes. Methods A retrospective review of patients who underwent minimally invasive mitral valve s...
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| Veröffentlicht in: | General thoracic and cardiovascular surgery 2010-11, Vol.58 (11), p.568-572 |
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| container_title | General thoracic and cardiovascular surgery |
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| creator | Kitamura, Tadashi Edwards, James Worthington, Michael Rathore, Kaushalendra S. Misra, Manoranjan Slimani, E. K. Ramana Kumar, G. V. Stubberfield, John Stuklis, Robert G. |
| description | Purpose
This study analyzes the initial experience with minimally invasive mitral valve surgery through a right minithoracotomy in a public teaching hospital in Australia and evaluates early surgical outcomes.
Methods
A retrospective review of patients who underwent minimally invasive mitral valve surgery between November 2006 and March 2009 was performed.
Results
A total of 60 patients included 47 (78%) patients who had mitral valve plasty and 13 (22%) who had mitral valve replacement. The mean age was 61 ± 15 years; 33 (55%) patients were male; and 6 (10%) had had previous cardiac operations. The mean cardiopulmonary bypass and aortic cross-clamp times were 140 ± 46 and 93 ± 35 min, respectively. All patients who underwent mitral valve plasty left the operation room with no more than trivial residual mitral regurgitation. There was no operative mortality. Reoperation for bleeding and stroke occurred in 2 patients each. The mean intensive care unit and hospital stays were 3.1 ± 5.8 and 10.6 ± 8.9 days, respectively. Among the 47 patients with mitral valve plasty, 46 (98%) had mild or less mitral regurgitation on transthoracic echocardiography at discharge. There was one late death. No reoperation for the mitral valve has been observed so far. An echocardiography report was obtained for 34 of the 47 who had had mitral valve plasty at 12.1 ± 7.9 months postoperatively, and 27 (79%) of them had mild or less mitral regurgitation.
Conclusion
Minimally invasive mitral valve surgery through a right minithoracotomy was safely performed with no early mortality. |
| doi_str_mv | 10.1007/s11748-010-0649-0 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_764495986</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>764495986</sourcerecordid><originalsourceid>FETCH-LOGICAL-c424t-bda49d5d6e2be0431da76827cae3ee0422c75b2a62581b85f850ab1a2c83555a3</originalsourceid><addsrcrecordid>eNp1UctOwzAQtBCIlsIHcEGROHAK2I7tONxQVR5SJS5wtpzEBVduUrxJpf49W6UUCYmTvbOzs_YMIZeM3jJK8ztgLBc6pYymVIkipUdkzLTKUpWz7Phwp3JEzgCWlEqlmTwlI86oKkQhx2Q5szFsk-igDx0k7SJZ-cavbEDQNxsLfuMQ6qINycYGLKCPHy5u77HtO48wuOgdYJnYZN2XwVfJZwtr32EPwYcedtPenpOThQ3gLvbnhLw_zt6mz-n89ell-jBPK8FFl5a1FUUta-V46ajIWG1zpXleWZc5BDivcllyq7jUrNRyoSW1JbO80pmU0mYTcjPormP71TvozMpD5UKwjWt7MLkS-PUCvZmQ6z_MZdvHBh9neMF0ninBNLLYwKpiCxDdwqwjOhS3hlGzy8EMORjMwexyMBRnrvbKfbly9WHix3gk8IEA2GrQ0N_V_6t-AzUUk64</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2918736418</pqid></control><display><type>article</type><title>Early results of minimally invasive mitral valve surgery: initial series in a public hospital in Australia</title><source>MEDLINE</source><source>Springer Nature - Complete Springer Journals</source><source>ProQuest Central</source><creator>Kitamura, Tadashi ; Edwards, James ; Worthington, Michael ; Rathore, Kaushalendra S. ; Misra, Manoranjan ; Slimani, E. K. ; Ramana Kumar, G. V. ; Stubberfield, John ; Stuklis, Robert G.</creator><creatorcontrib>Kitamura, Tadashi ; Edwards, James ; Worthington, Michael ; Rathore, Kaushalendra S. ; Misra, Manoranjan ; Slimani, E. K. ; Ramana Kumar, G. V. ; Stubberfield, John ; Stuklis, Robert G.</creatorcontrib><description>Purpose
This study analyzes the initial experience with minimally invasive mitral valve surgery through a right minithoracotomy in a public teaching hospital in Australia and evaluates early surgical outcomes.
Methods
A retrospective review of patients who underwent minimally invasive mitral valve surgery between November 2006 and March 2009 was performed.
Results
A total of 60 patients included 47 (78%) patients who had mitral valve plasty and 13 (22%) who had mitral valve replacement. The mean age was 61 ± 15 years; 33 (55%) patients were male; and 6 (10%) had had previous cardiac operations. The mean cardiopulmonary bypass and aortic cross-clamp times were 140 ± 46 and 93 ± 35 min, respectively. All patients who underwent mitral valve plasty left the operation room with no more than trivial residual mitral regurgitation. There was no operative mortality. Reoperation for bleeding and stroke occurred in 2 patients each. The mean intensive care unit and hospital stays were 3.1 ± 5.8 and 10.6 ± 8.9 days, respectively. Among the 47 patients with mitral valve plasty, 46 (98%) had mild or less mitral regurgitation on transthoracic echocardiography at discharge. There was one late death. No reoperation for the mitral valve has been observed so far. An echocardiography report was obtained for 34 of the 47 who had had mitral valve plasty at 12.1 ± 7.9 months postoperatively, and 27 (79%) of them had mild or less mitral regurgitation.
Conclusion
Minimally invasive mitral valve surgery through a right minithoracotomy was safely performed with no early mortality.</description><identifier>ISSN: 1863-6705</identifier><identifier>EISSN: 1863-6713</identifier><identifier>DOI: 10.1007/s11748-010-0649-0</identifier><identifier>PMID: 21069495</identifier><language>eng</language><publisher>Japan: Springer Japan</publisher><subject>Aged ; Cardiac Surgery ; Cardiac Surgical Procedures - adverse effects ; Cardiac Surgical Procedures - mortality ; Cardiology ; Cardiopulmonary Bypass ; Critical Care ; Female ; Heart Valve Prosthesis Implantation ; Hospitals, Public ; Hospitals, Teaching ; Humans ; Length of Stay ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Minimally Invasive Surgical Procedures ; Mitral Valve - diagnostic imaging ; Mitral Valve - surgery ; Mitral Valve Insufficiency - diagnostic imaging ; Mitral Valve Insufficiency - mortality ; Mitral Valve Insufficiency - surgery ; Mitral Valve Stenosis - diagnostic imaging ; Mitral Valve Stenosis - mortality ; Mitral Valve Stenosis - surgery ; Original Article ; Reoperation ; Retrospective Studies ; South Australia ; Surgery ; Surgical Oncology ; Surgical outcomes ; Thoracic Surgery ; Thoracotomy - adverse effects ; Thoracotomy - mortality ; Time Factors ; Treatment Outcome ; Ultrasonography</subject><ispartof>General thoracic and cardiovascular surgery, 2010-11, Vol.58 (11), p.568-572</ispartof><rights>The Japanese Association for Thoracic Surgery 2010</rights><rights>The Japanese Association for Thoracic Surgery 2010.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c424t-bda49d5d6e2be0431da76827cae3ee0422c75b2a62581b85f850ab1a2c83555a3</citedby><cites>FETCH-LOGICAL-c424t-bda49d5d6e2be0431da76827cae3ee0422c75b2a62581b85f850ab1a2c83555a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s11748-010-0649-0$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2918736418?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,776,780,21367,27901,27902,33721,33722,41464,42533,43781,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21069495$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kitamura, Tadashi</creatorcontrib><creatorcontrib>Edwards, James</creatorcontrib><creatorcontrib>Worthington, Michael</creatorcontrib><creatorcontrib>Rathore, Kaushalendra S.</creatorcontrib><creatorcontrib>Misra, Manoranjan</creatorcontrib><creatorcontrib>Slimani, E. K.</creatorcontrib><creatorcontrib>Ramana Kumar, G. V.</creatorcontrib><creatorcontrib>Stubberfield, John</creatorcontrib><creatorcontrib>Stuklis, Robert G.</creatorcontrib><title>Early results of minimally invasive mitral valve surgery: initial series in a public hospital in Australia</title><title>General thoracic and cardiovascular surgery</title><addtitle>Gen Thorac Cardiovasc Surg</addtitle><addtitle>Gen Thorac Cardiovasc Surg</addtitle><description>Purpose
This study analyzes the initial experience with minimally invasive mitral valve surgery through a right minithoracotomy in a public teaching hospital in Australia and evaluates early surgical outcomes.
Methods
A retrospective review of patients who underwent minimally invasive mitral valve surgery between November 2006 and March 2009 was performed.
Results
A total of 60 patients included 47 (78%) patients who had mitral valve plasty and 13 (22%) who had mitral valve replacement. The mean age was 61 ± 15 years; 33 (55%) patients were male; and 6 (10%) had had previous cardiac operations. The mean cardiopulmonary bypass and aortic cross-clamp times were 140 ± 46 and 93 ± 35 min, respectively. All patients who underwent mitral valve plasty left the operation room with no more than trivial residual mitral regurgitation. There was no operative mortality. Reoperation for bleeding and stroke occurred in 2 patients each. The mean intensive care unit and hospital stays were 3.1 ± 5.8 and 10.6 ± 8.9 days, respectively. Among the 47 patients with mitral valve plasty, 46 (98%) had mild or less mitral regurgitation on transthoracic echocardiography at discharge. There was one late death. No reoperation for the mitral valve has been observed so far. An echocardiography report was obtained for 34 of the 47 who had had mitral valve plasty at 12.1 ± 7.9 months postoperatively, and 27 (79%) of them had mild or less mitral regurgitation.
Conclusion
Minimally invasive mitral valve surgery through a right minithoracotomy was safely performed with no early mortality.</description><subject>Aged</subject><subject>Cardiac Surgery</subject><subject>Cardiac Surgical Procedures - adverse effects</subject><subject>Cardiac Surgical Procedures - mortality</subject><subject>Cardiology</subject><subject>Cardiopulmonary Bypass</subject><subject>Critical Care</subject><subject>Female</subject><subject>Heart Valve Prosthesis Implantation</subject><subject>Hospitals, Public</subject><subject>Hospitals, Teaching</subject><subject>Humans</subject><subject>Length of Stay</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Minimally Invasive Surgical Procedures</subject><subject>Mitral Valve - diagnostic imaging</subject><subject>Mitral Valve - surgery</subject><subject>Mitral Valve Insufficiency - diagnostic imaging</subject><subject>Mitral Valve Insufficiency - mortality</subject><subject>Mitral Valve Insufficiency - surgery</subject><subject>Mitral Valve Stenosis - diagnostic imaging</subject><subject>Mitral Valve Stenosis - mortality</subject><subject>Mitral Valve Stenosis - surgery</subject><subject>Original Article</subject><subject>Reoperation</subject><subject>Retrospective Studies</subject><subject>South Australia</subject><subject>Surgery</subject><subject>Surgical Oncology</subject><subject>Surgical outcomes</subject><subject>Thoracic Surgery</subject><subject>Thoracotomy - adverse effects</subject><subject>Thoracotomy - mortality</subject><subject>Time Factors</subject><subject>Treatment Outcome</subject><subject>Ultrasonography</subject><issn>1863-6705</issn><issn>1863-6713</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp1UctOwzAQtBCIlsIHcEGROHAK2I7tONxQVR5SJS5wtpzEBVduUrxJpf49W6UUCYmTvbOzs_YMIZeM3jJK8ztgLBc6pYymVIkipUdkzLTKUpWz7Phwp3JEzgCWlEqlmTwlI86oKkQhx2Q5szFsk-igDx0k7SJZ-cavbEDQNxsLfuMQ6qINycYGLKCPHy5u77HtO48wuOgdYJnYZN2XwVfJZwtr32EPwYcedtPenpOThQ3gLvbnhLw_zt6mz-n89ell-jBPK8FFl5a1FUUta-V46ajIWG1zpXleWZc5BDivcllyq7jUrNRyoSW1JbO80pmU0mYTcjPormP71TvozMpD5UKwjWt7MLkS-PUCvZmQ6z_MZdvHBh9neMF0ninBNLLYwKpiCxDdwqwjOhS3hlGzy8EMORjMwexyMBRnrvbKfbly9WHix3gk8IEA2GrQ0N_V_6t-AzUUk64</recordid><startdate>20101101</startdate><enddate>20101101</enddate><creator>Kitamura, Tadashi</creator><creator>Edwards, James</creator><creator>Worthington, Michael</creator><creator>Rathore, Kaushalendra S.</creator><creator>Misra, Manoranjan</creator><creator>Slimani, E. K.</creator><creator>Ramana Kumar, G. V.</creator><creator>Stubberfield, John</creator><creator>Stuklis, Robert G.</creator><general>Springer Japan</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope></search><sort><creationdate>20101101</creationdate><title>Early results of minimally invasive mitral valve surgery: initial series in a public hospital in Australia</title><author>Kitamura, Tadashi ; Edwards, James ; Worthington, Michael ; Rathore, Kaushalendra S. ; Misra, Manoranjan ; Slimani, E. K. ; Ramana Kumar, G. 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K.</creatorcontrib><creatorcontrib>Ramana Kumar, G. V.</creatorcontrib><creatorcontrib>Stubberfield, John</creatorcontrib><creatorcontrib>Stuklis, Robert G.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><jtitle>General thoracic and cardiovascular surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kitamura, Tadashi</au><au>Edwards, James</au><au>Worthington, Michael</au><au>Rathore, Kaushalendra S.</au><au>Misra, Manoranjan</au><au>Slimani, E. K.</au><au>Ramana Kumar, G. V.</au><au>Stubberfield, John</au><au>Stuklis, Robert G.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Early results of minimally invasive mitral valve surgery: initial series in a public hospital in Australia</atitle><jtitle>General thoracic and cardiovascular surgery</jtitle><stitle>Gen Thorac Cardiovasc Surg</stitle><addtitle>Gen Thorac Cardiovasc Surg</addtitle><date>2010-11-01</date><risdate>2010</risdate><volume>58</volume><issue>11</issue><spage>568</spage><epage>572</epage><pages>568-572</pages><issn>1863-6705</issn><eissn>1863-6713</eissn><abstract>Purpose
This study analyzes the initial experience with minimally invasive mitral valve surgery through a right minithoracotomy in a public teaching hospital in Australia and evaluates early surgical outcomes.
Methods
A retrospective review of patients who underwent minimally invasive mitral valve surgery between November 2006 and March 2009 was performed.
Results
A total of 60 patients included 47 (78%) patients who had mitral valve plasty and 13 (22%) who had mitral valve replacement. The mean age was 61 ± 15 years; 33 (55%) patients were male; and 6 (10%) had had previous cardiac operations. The mean cardiopulmonary bypass and aortic cross-clamp times were 140 ± 46 and 93 ± 35 min, respectively. All patients who underwent mitral valve plasty left the operation room with no more than trivial residual mitral regurgitation. There was no operative mortality. Reoperation for bleeding and stroke occurred in 2 patients each. The mean intensive care unit and hospital stays were 3.1 ± 5.8 and 10.6 ± 8.9 days, respectively. Among the 47 patients with mitral valve plasty, 46 (98%) had mild or less mitral regurgitation on transthoracic echocardiography at discharge. There was one late death. No reoperation for the mitral valve has been observed so far. An echocardiography report was obtained for 34 of the 47 who had had mitral valve plasty at 12.1 ± 7.9 months postoperatively, and 27 (79%) of them had mild or less mitral regurgitation.
Conclusion
Minimally invasive mitral valve surgery through a right minithoracotomy was safely performed with no early mortality.</abstract><cop>Japan</cop><pub>Springer Japan</pub><pmid>21069495</pmid><doi>10.1007/s11748-010-0649-0</doi><tpages>5</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1863-6705 |
| ispartof | General thoracic and cardiovascular surgery, 2010-11, Vol.58 (11), p.568-572 |
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| language | eng |
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| source | MEDLINE; Springer Nature - Complete Springer Journals; ProQuest Central |
| subjects | Aged Cardiac Surgery Cardiac Surgical Procedures - adverse effects Cardiac Surgical Procedures - mortality Cardiology Cardiopulmonary Bypass Critical Care Female Heart Valve Prosthesis Implantation Hospitals, Public Hospitals, Teaching Humans Length of Stay Male Medicine Medicine & Public Health Middle Aged Minimally Invasive Surgical Procedures Mitral Valve - diagnostic imaging Mitral Valve - surgery Mitral Valve Insufficiency - diagnostic imaging Mitral Valve Insufficiency - mortality Mitral Valve Insufficiency - surgery Mitral Valve Stenosis - diagnostic imaging Mitral Valve Stenosis - mortality Mitral Valve Stenosis - surgery Original Article Reoperation Retrospective Studies South Australia Surgery Surgical Oncology Surgical outcomes Thoracic Surgery Thoracotomy - adverse effects Thoracotomy - mortality Time Factors Treatment Outcome Ultrasonography |
| title | Early results of minimally invasive mitral valve surgery: initial series in a public hospital in Australia |
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