MINIMALLY INVASIVE MITRAL VALVE REPLACEMENT (MIMVR) THROUGH RIGHT MINITHORACOTOMY: A SINGLE-CENTER EXPERIENCE FROM CENTRAL INDIA

Authors

  • Piyush Gupta Department of Cardiovascular and Thoracic Surgery, Superspeciality Hospital, MGM Medical College, Indore, Madhya Pradesh, India
  • Manish Porwal Department of Cardiovascular and Thoracic Surgery, CHL Hospital, Indore, Madhya Pradesh, India.

DOI:

https://doi.org/10.32553/ijmbs.v6i1.2371

Keywords:

minimally invasive, minithoracotomy, mitral valve replacement

Abstract

Background: Minimally invasive mitral valve replacement surgery (MIMVR) is gaining popularity for its multifold advantages. Here we report our single-institution experience with MIMVR through the right minithoracotomy over two years.

Materials and Methods: This study was a retrospective analytical study. Forty-two patients undergoing MIMVR between August 2019 and July 2021 were included. Recorded perioperative data were collected and evaluated retrospectively.

Results: A total of 42 patients were included in the study, of which 29 were females (69%). The mean age was 43.2+/- 8.2 years. Overall 30-day mortality was 2.38% (n = 1). Mean operating time, cardiopulmonary bypass, and aortic cross-clamp times were 264.9 ± 48.7, 151.5 ± 39.8, and 89.8 ± 25.6 minutes, respectively. Tricuspid valve annuloplasty was performed in 8 patients (19%). One patient (2.38%) required conversion to median sternotomy, and three patients (7.1%) underwent re-explorations due to bleeding. The median postoperative hospital stay was 5 days.

Conclusions: MIMVR through right minithoracotomy is feasible, safe, and reproducible with low mortality and morbidity. Mitral valve surgery through a small anterior thoracotomy is a good alternative to conventional thoracotomy.

Keywords: minimally invasive, minithoracotomy, mitral valve replacement

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Published

2022-01-02

How to Cite

Gupta, P. ., & Porwal , M. . (2022). MINIMALLY INVASIVE MITRAL VALVE REPLACEMENT (MIMVR) THROUGH RIGHT MINITHORACOTOMY: A SINGLE-CENTER EXPERIENCE FROM CENTRAL INDIA. International Journal of Medical and Biomedical Studies, 6(1). https://doi.org/10.32553/ijmbs.v6i1.2371

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