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Minimally Invasive Approaches to Mitral Valve Surgery: Where Are We Now? A Narrative Review.
El-Andari, Ryaan; Watkins, Abeline R; Fialka, Nicholas M; Kang, Jimmy J H; Bozso, Sabin J; Hassanabad, Ali Fatehi; Vasanthan, Vishnu; Adams, Corey; Cook, Richard; Moon, Michael C; Nagendran, Jeevan; Kent, William.
Affiliation
  • El-Andari R; Division of Cardiac Surgery, Department of Surgery, University of Alberta, Edmonton, Alberta, Canada.
  • Watkins AR; Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, Canada.
  • Fialka NM; Division of Cardiac Surgery, Department of Surgery, University of Alberta, Edmonton, Alberta, Canada.
  • Kang JJH; Division of Cardiac Surgery, Department of Surgery, University of Alberta, Edmonton, Alberta, Canada.
  • Bozso SJ; Division of Cardiac Surgery, Department of Surgery, University of Alberta, Edmonton, Alberta, Canada.
  • Hassanabad AF; Section of Cardiac Surgery, Department of Cardiac Sciences, Libin Cardiovascular Institute of Alberta, University of Calgary, Calgary, Canada.
  • Vasanthan V; Section of Cardiac Surgery, Department of Cardiac Sciences, Libin Cardiovascular Institute of Alberta, University of Calgary, Calgary, Canada.
  • Adams C; Section of Cardiac Surgery, Department of Cardiac Sciences, Libin Cardiovascular Institute of Alberta, University of Calgary, Calgary, Canada.
  • Cook R; Department of Surgery, St Paul's Hospital, Vancouver, British Columbia, Canada.
  • Moon MC; Division of Cardiac Surgery, Department of Surgery, University of Alberta, Edmonton, Alberta, Canada.
  • Nagendran J; Division of Cardiac Surgery, Department of Surgery, University of Alberta, Edmonton, Alberta, Canada.
  • Kent W; Section of Cardiac Surgery, Department of Cardiac Sciences, Libin Cardiovascular Institute of Alberta, University of Calgary, Calgary, Canada. Electronic address: william.kent@ahs.ca.
Can J Cardiol ; 2024 Mar 27.
Article in En | MEDLINE | ID: mdl-38552791
ABSTRACT
Minimally invasive mitral valve surgery (MiMVS) has been increasing in prevalence. This review focuses on the approaches, clinical outcomes, and patient selection for MiMVS. There are 4 minimally invasive approaches to the mitral valve right mini-thoracotomy (including video-assisted and fully endoscopic), robotic mitral surgery, and transapical beating heart off-pump neochordal repair. Advantages over conventional surgery include less blood loss and transfusion, improved postoperative mobility, shorter length of stay, less postoperative atrial fibrillation, fewer surgical site infections, and improved cosmesis. This range of minimally invasive techniques will continue to evolve, providing options that are tailored for different patient populations.
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Full text: 1 Collection: 01-internacional Database: MEDLINE Language: En Journal: Can J Cardiol Journal subject: CARDIOLOGIA Year: 2024 Document type: Article Affiliation country: Canadá
Fulltext
Add to My VHL
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Full text: 1 Collection: 01-internacional Database: MEDLINE Language: En Journal: Can J Cardiol Journal subject: CARDIOLOGIA Year: 2024 Document type: Article Affiliation country: Canadá