Abstract
IntroductionTotally endoscopic technique has been widely used in cardiac surgery, and minimally invasive totally endoscopic mitral valve surgery has been developed as an alternative to median sternotomy for many patients with mitral valve disease. In this study, we describe our experience about a modified minimally invasive totally endoscopic mitral valve surgery and reported the preliminary results of totally endoscopic mitral valve surgery. The aim of this retrospective study is to evaluate the results of totally endoscopic technique in mitral valve surgery.Material and methodsWe retrospectively reviewed the profiles of 188 patients who were treated for mitral valve disease by modified totally endoscopic mitral valve surgery at our institution between January 2019 and December 2020. The procedure was performed under endoscopic right minithoracotomy and with femoro-femoral cannulation using the single two-stage venous cannula.ResultsA total of 188 patients underwent total endoscopic mitral valve surgery. Fifty-six patients had concomitant tricuspid valvuloplasty, 11 patients underwent concomitant ablation of atrial fibrillation and atrial septal defect repair was performed in three patients. Only one patient postoperatively died of multi-organ failure. Two patients were converted to median sternotomy. Except for one patient underwent operation to stop the bleeding from the incision site, no other serious complications nor reintervention occurred during the follow-up period.ConclusionsThe modified totally endoscopic mitral valve surgery performed at our institution is technically feasible and safe with the same efficacy as reported studies.
Highlights
Endoscopic technique has been widely used in cardiac surgery, and minimally invasive totally endoscopic mitral valve surgery has been developed as an alternative to median sternotomy for many patients with mitral valve disease
The modified totally endoscopic mitral valve surgery performed at our institution is technically feasible and safe with the same efficacy as reported studies
In recent years, minimally invasive techniques have been widely used in cardiac surgery, which were used for coronary artery bypass grafting, mitral, tricuspid and aortic valve surgery, atrial septal defect repair, epicardial pacemaker implantation and ablation of atrial fibrillation
Summary
Endoscopic technique has been widely used in cardiac surgery, and minimally invasive totally endoscopic mitral valve surgery has been developed as an alternative to median sternotomy for many patients with mitral valve disease. We describe our experience about a modified minimally invasive totally endoscopic mitral valve surgery and reported the preliminary results of totally endoscopic mitral valve surgery. Minimally invasive techniques have been widely used in cardiac surgery, which were used for coronary artery bypass grafting, mitral, tricuspid and aortic valve surgery, atrial septal defect repair, epicardial pacemaker implantation and ablation of atrial fibrillation. Invasive mitral valve surgery has developed as an alternative to median sternotomy for many patients with mitral valve disease [1]. We performed a modified minimally mitral valve surgery using endoscopic right minithoracotomy and established cardiopulmonary bypass (CPB) by femoro-femoral cannulation. An advantage of totally endoscopic surgery is that it does not
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