Minimally invasive mitral valve surgery

Abstract

Mitral valve surgery and particularly minimally invasive mitral valve surgery has experienced constant evolution and improvement. To date, a broad and effective armamentarium of surgical techniques for mitral valve repair exists. Conventional and minimally invasive mitral valve surgeries are proven methods for achieving excellent and durable results by a minimized surgical risk. Minimally invasive mitral valve surgery additionally provides reduced morbidity by means of bleeding, transfusions, re-exploration, and impaired wound healing. Reduced postoperative pain is a major benefit of minimally invasive mitral valve surgery. This beneficial effect additionally can be enhanced by implementation of a non-rib-spreading, fully endoscopic approach. The reduction of postoperative pain translates into improved patient satisfaction, shorter length of stay, and lower health care expenditures. This review gives a detailed outline of the past and present of minimally invasive mitral valve surgery, results, outcomes and durability.