Minimally Invasive Versus Sternotomy Approach for Mitral Valve Surgery in Patients Greater Than 70 Years Old: A Propensity-Matched Comparison

Background The goal of this study was to compare the outcome after mitral valve surgery through either standard sternotomy or right lateral minithoracotomy in elderly patients with higher perioperative risk. Methods All 1,027 elderly patients (>70 years) who received isolated mitral valve surgery...

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Veröffentlicht in:	The Annals of thoracic surgery 2011-02, Vol.91 (2), p.401-405
Hauptverfasser:	Holzhey, David M., MD, Shi, William, Borger, Michael A., MD, PhD, Seeburger, Joerg, MD, Garbade, Jens, MD, PhD, Pfannmüller, Bettina, MD, Mohr, Friedrich W., MD, PhD
Format:	Artikel
Sprache:	eng
Schlagworte:	Aged Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Biological and medical sciences Cardiac Surgical Procedures Cardiology. Vascular system Cardiothoracic Surgery Confidence Intervals Female Heart Valve Diseases - surgery Humans Length of Stay Male Medical sciences Minimally Invasive Surgical Procedures - methods Mitral Valve - surgery Pneumology Postoperative Complications - epidemiology Reoperation - statistics & numerical data Retrospective Studies Risk Assessment Sternotomy - methods Surgery Thoracotomy - methods Treatment Outcome Tricuspid Valve - surgery
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Zusammenfassung:	Background The goal of this study was to compare the outcome after mitral valve surgery through either standard sternotomy or right lateral minithoracotomy in elderly patients with higher perioperative risk. Methods All 1,027 elderly patients (>70 years) who received isolated mitral valve surgery (± tricuspid valve repair) between August 1999 and July 2009 were analyzed for outcome differences due to surgical approach using propensity score matching. The etiology of mitral valve disease was degenerative (83%), endocarditis (6%), rheumatic (10%), and acute ischemic (
ISSN:	0003-4975 1552-6259
DOI:	10.1016/j.athoracsur.2010.08.006