Port-Access Mitral Valve Surgery - An Evolution of Technique
Port-Access mitral valve surgery has been around since 1995; and many variations upon the technique have been developed. Since 1996 we have performed more than 2,500 port-Access mitral valve surgeries, and thus gained a substantial experience. The purpose of this document is to describe the current...
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| Published in | Seminars in thoracic and cardiovascular surgery Vol. 32; no. 4; pp. 829 - 837 |
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| Main Authors | , |
| Format | Journal Article |
| Language | English |
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Elsevier Inc
01.01.2020
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| Abstract | Port-Access mitral valve surgery has been around since 1995; and many variations upon the technique have been developed. Since 1996 we have performed more than 2,500 port-Access mitral valve surgeries, and thus gained a substantial experience. The purpose of this document is to describe the current status of port access mitral surgery at one institution, and to share the “know how” and life lessons behind the patient selection and conduct of the operation to accomplish results similar to those achieved from sternotomy mitral valve surgery. While port access started in larger institutions, it can be performed in small centers with the proper guidance of the pearls and pitfalls of this operation, given to young surgeons regarding the right way to start a program. |
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| AbstractList | Port-Access mitral valve surgery has been around since 1995; and many variations upon the technique have been developed. Since 1996 we have performed more than 2,500 port-Access mitral valve surgeries, and thus gained a substantial experience. The purpose of this document is to describe the current status of port access mitral surgery at one institution, and to share the “know how” and life lessons behind the patient selection and conduct of the operation to accomplish results similar to those achieved from sternotomy mitral valve surgery. While port access started in larger institutions, it can be performed in small centers with the proper guidance of the pearls and pitfalls of this operation, given to young surgeons regarding the right way to start a program. Port-access mitral valve surgery has been around since 1995; and many variations upon the technique have been developed. Since 1996, we have performed more than 2500 port-access mitral valve surgeries, and thus gained a substantial experience. The purpose of this document is to describe the current status of port-access mitral surgery at 1 institution, and to share the "know how" and life lessons behind the patient selection and conduct of the operation to accomplish results similar to those achieved from sternotomy mitral valve surgery. While port access started in larger institutions, it can be performed in small centers with the proper guidance of the pearls and pitfalls of this operation, given to young surgeons regarding the right way to start a program. |
| Author | Barac, Yaron D., MD, PhD Glower, Donald D., MD |
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| Cites_doi | 10.1016/S0003-4975(98)00300-2 10.1097/imi.0000000000000300 10.1097/IMI.0000000000000512 10.15420/icr.2017:30:1 10.1016/S1043-0679(99)70060-2 10.1007/s11886-011-0244-8 10.1097/imi.0000000000000299 10.1016/S0003-4975(99)00950-9 10.1016/j.athoracsur.2016.05.100 10.1016/S0022-5223(98)70320-4 10.1136/heartjnl-2018-313129 10.1097/imi.0000000000000301 10.1016/S1010-7940(98)00123-7 10.1016/S0003-4975(97)00242-7 10.1016/S0022-5223(97)70341-6 10.1016/0003-4975(89)90180-X 10.1016/S0022-5223(96)70308-2 |
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| Keywords | Heart valve prosthesis Minimal invasive Mitral valve repair Mitral repair |
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| References_xml | – volume: 13 start-page: 14 year: 2018 end-page: 19 ident: bib0001 article-title: Minimally invasive surgical mitral valve repair: State of the art review publication-title: Interv Cardiol contributor: fullname: Sündermann – volume: 11 start-page: 251 year: 2016 end-page: 259 ident: bib0014 article-title: Minimally invasive mitral valve surgery II: Surgical technique and postoperative management publication-title: Innovations (Phila) contributor: fullname: Farivar – volume: 63 start-page: 1477 year: 1997 end-page: 1479 ident: bib0008 article-title: Minimally invasive mitral valve repair using transthoracic aortic occlusion publication-title: Ann Thorac Surg contributor: fullname: Moran – volume: 14 start-page: S143 year: 1998 end-page: S147 ident: bib0004 article-title: Mitral valve operation via port access versus median sternotomy publication-title: Eur J Cardiothorac Surg contributor: fullname: Clements – volume: 104 start-page: 1970 year: 2018 end-page: 1975 ident: bib0005 article-title: Investigators for the Virginia Cardiac Services Quality Initiative. A propensity matched analysis of robotic, minimally invasive, and conventional mitral valve surgery publication-title: Heart contributor: fullname: Mullen – volume: 115 start-page: 567 year: 1998 end-page: 574 ident: bib0009 article-title: Minimally invasive port-access mitral valve surgery publication-title: J Thorac Cardiovasc Surg contributor: fullname: Diegeler – volume: 103 start-page: 98 year: 2017 end-page: 104 ident: bib0019 article-title: Prevention of unilateral pulmonary edema complicating robotic mitral valve operations publication-title: Ann Thorac Surg contributor: fullname: Binongo – volume: 9 start-page: 320 year: 1997 end-page: 330 ident: bib0003 article-title: Minimally invasive mitral valve surgery publication-title: Semin Thorac Cardiovasc Surg contributor: fullname: Burdon – volume: 113 start-page: 413 year: 1997 end-page: 414 ident: bib0007 article-title: Video-assisted minimally invasive mitral valve surgery: The “micro-mitral” operation publication-title: J Thorac Cardiovasc Surg contributor: fullname: Chapman – volume: 11 start-page: 194 year: 1999 end-page: 205 ident: bib0013 article-title: Video-assisted and robotic mitral valve surgery: Toward an endoscopic surgery publication-title: Semin Thorac Cardiovasc Surg contributor: fullname: Chitwood – volume: 68 start-page: 1529 year: 1999 end-page: 1531 ident: bib0017 article-title: Comparison of direct aortic and femoral cannulation for port-access cardiac operations publication-title: Ann Thorac Surg contributor: fullname: Debruijn – volume: 13 start-page: 315 year: 2018 end-page: 317 ident: bib0018 article-title: Minimally invasive mitral repair: Direct aortic cannulation via right 2nd intercostal space publication-title: Innovations (Phila) contributor: fullname: Glower – volume: 5 start-page: 630 year: 1996 end-page: 637 ident: bib0006 article-title: Echocardiographic monitoring of minimally invasive mitral valve surgery using an endoaortic clamp publication-title: J Heart Valve Dis contributor: fullname: Diegeler – volume: 11 start-page: 243 year: 2016 end-page: 250 ident: bib0015 article-title: Minimally invasive mitral valve surgery I: Patient selection, evaluation, and planning publication-title: Innovations (Phila) contributor: fullname: Mehall – volume: 14 start-page: 171 year: 2012 end-page: 179 ident: bib0010 article-title: Minimally invasive heart valve surgery: How and why in 2012 publication-title: Curr Cardiol Rep contributor: fullname: Thalji – volume: 11 start-page: 260 year: 2016 end-page: 267 ident: bib0016 article-title: Minimally invasive mitral valve surgery III: Training and robotic-assisted approaches publication-title: Innovations (Phila) contributor: fullname: Smith – volume: 48 start-page: 69 year: 1989 end-page: 71 ident: bib0011 article-title: Right thoracotomy, femorofemoral bypass, and deep hypothermia for re-replacement of the mitral valve publication-title: Ann Thorac Surg contributor: fullname: Sell – volume: 65 start-page: 1535 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10.1053/j.semtcvs.2019.09.003_bib0018 article-title: Minimally invasive mitral repair: Direct aortic cannulation via right 2nd intercostal space publication-title: Innovations (Phila) doi: 10.1097/IMI.0000000000000512 contributor: fullname: Barac – volume: 13 start-page: 14 year: 2018 ident: 10.1053/j.semtcvs.2019.09.003_bib0001 article-title: Minimally invasive surgical mitral valve repair: State of the art review publication-title: Interv Cardiol doi: 10.15420/icr.2017:30:1 contributor: fullname: Van Praet – volume: 11 start-page: 194 year: 1999 ident: 10.1053/j.semtcvs.2019.09.003_bib0013 article-title: Video-assisted and robotic mitral valve surgery: Toward an endoscopic surgery publication-title: Semin Thorac Cardiovasc Surg doi: 10.1016/S1043-0679(99)70060-2 contributor: fullname: Chitwood – volume: 14 start-page: 171 year: 2012 ident: 10.1053/j.semtcvs.2019.09.003_bib0010 article-title: Minimally invasive heart valve surgery: How and why in 2012 publication-title: Curr Cardiol Rep doi: 10.1007/s11886-011-0244-8 contributor: fullname: Suri – volume: 11 start-page: 260 year: 2016 ident: 10.1053/j.semtcvs.2019.09.003_bib0016 article-title: Minimally invasive mitral valve surgery III: Training and robotic-assisted approaches publication-title: Innovations (Phila) doi: 10.1097/imi.0000000000000299 contributor: fullname: Lehr – volume: 68 start-page: 1529 year: 1999 ident: 10.1053/j.semtcvs.2019.09.003_bib0017 article-title: Comparison of direct aortic and femoral cannulation for port-access cardiac operations publication-title: Ann Thorac Surg doi: 10.1016/S0003-4975(99)00950-9 contributor: fullname: Glower – volume: 103 start-page: 98 year: 2017 ident: 10.1053/j.semtcvs.2019.09.003_bib0019 article-title: Prevention of unilateral pulmonary edema complicating robotic mitral valve operations publication-title: Ann Thorac Surg doi: 10.1016/j.athoracsur.2016.05.100 contributor: fullname: Moss – volume: 9 start-page: 320 year: 1997 ident: 10.1053/j.semtcvs.2019.09.003_bib0003 article-title: Minimally invasive mitral valve surgery publication-title: Semin Thorac Cardiovasc Surg contributor: fullname: Fann – volume: 115 start-page: 567 year: 1998 ident: 10.1053/j.semtcvs.2019.09.003_bib0009 article-title: Minimally invasive port-access mitral valve surgery publication-title: J Thorac Cardiovasc Surg doi: 10.1016/S0022-5223(98)70320-4 contributor: fullname: Mohr – volume: 104 start-page: 1970 year: 2018 ident: 10.1053/j.semtcvs.2019.09.003_bib0005 article-title: Investigators for the Virginia Cardiac Services Quality Initiative. A propensity matched analysis of robotic, minimally invasive, and conventional mitral valve surgery publication-title: Heart doi: 10.1136/heartjnl-2018-313129 contributor: fullname: Hawkins – volume: 11 start-page: 243 year: 2016 ident: 10.1053/j.semtcvs.2019.09.003_bib0015 article-title: Minimally invasive mitral valve surgery I: Patient selection, evaluation, and planning publication-title: Innovations (Phila) doi: 10.1097/imi.0000000000000301 contributor: fullname: Ailawadi – volume: 14 start-page: S143 issue: Suppl 1 year: 1998 ident: 10.1053/j.semtcvs.2019.09.003_bib0004 article-title: Mitral valve operation via port access versus median sternotomy publication-title: Eur J Cardiothorac Surg doi: 10.1016/S1010-7940(98)00123-7 contributor: fullname: Glower – volume: 63 start-page: 1477 year: 1997 ident: 10.1053/j.semtcvs.2019.09.003_bib0008 article-title: Minimally invasive mitral valve repair using transthoracic aortic occlusion publication-title: Ann Thorac Surg doi: 10.1016/S0003-4975(97)00242-7 contributor: fullname: Chitwood – volume: 5 start-page: 630 year: 1996 ident: 10.1053/j.semtcvs.2019.09.003_bib0006 article-title: Echocardiographic monitoring of minimally invasive mitral valve surgery using an endoaortic clamp publication-title: J Heart Valve Dis contributor: fullname: Falk – volume: 113 start-page: 413 year: 1997 ident: 10.1053/j.semtcvs.2019.09.003_bib0007 article-title: Video-assisted minimally invasive mitral valve surgery: The “micro-mitral” operation publication-title: J Thorac Cardiovasc Surg doi: 10.1016/S0022-5223(97)70341-6 contributor: fullname: Chitwood – volume: 48 start-page: 69 year: 1989 ident: 10.1053/j.semtcvs.2019.09.003_bib0011 article-title: Right thoracotomy, femorofemoral bypass, and deep hypothermia for re-replacement of the mitral valve publication-title: Ann Thorac Surg doi: 10.1016/0003-4975(89)90180-X contributor: fullname: Cohn – volume: 111 start-page: 567 year: 1996 ident: 10.1053/j.semtcvs.2019.09.003_bib0002 article-title: Port-access coronary artery bypass grafting: A proposed surgical method publication-title: J Thorac Cardiovasc Surg doi: 10.1016/S0022-5223(96)70308-2 contributor: fullname: Stevens |
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| SubjectTerms | Cardiac Surgical Procedures - adverse effects Cardiothoracic Surgery Humans Minimal invasive Minimally Invasive Surgical Procedures Mitral repair Mitral Valve - diagnostic imaging Mitral Valve - surgery Mitral Valve Insufficiency - diagnostic imaging Mitral Valve Insufficiency - surgery Sternotomy |
| Title | Port-Access Mitral Valve Surgery - An Evolution of Technique |
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