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Subject Area

Internal Medicine

Article Type

Original Study

Abstract

Objective The aim of this study was to evaluate a new approach for mitral valve surgery (MVS) in National Heart Institute, Egypt, comparing operative data, total hospital stay, and hospital morbidity and mortality between conventional and minimally invasive mitral valve surgery (MIMVS). Background MVS using full sternotomy is the conventional approach. Despite this procedure showing excellent postoperative outcomes, in the past two decades, MIMVS has gained consensus among surgeons as it provided greater patients satisfaction, better cosmoses, less hospital stay, and faster recovery maintaining same quality and safety. Patients and methods This prospective study was conducted on fifty patients requiring mitral valve replacement with or without tricuspid valve repair, and the patients were classified into two groups: group I (conventional) was operated on using conventional median sternotomy, and group II (minimally invasive) was operated on using video-assisted right anterolateral mini-thoracotomy and peripheral femoral cannulation. Results There was no significant difference in the preoperative data for patients of both groups. Moreover, there was no mortality in both groups but significant differences in incision length, ventilation time, blood loss (P = 0.001), blood transfusion (P = 0.01), and ICU stay (P = 0.001) were found. In addition, total hospital stay was significantly less in group II (9.6 ± 2.18 vs. 5.64 ± 0.7 days, P = 0.001). Conclusion In patients with mitral valve diseases, MIMVS is feasible for MVS without affecting the core of surgery or compromising the surgical target, with some advantages such as shorter ICU stay and faster recovery.

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