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. 2020 Oct;35(10):2567-2573.
doi: 10.1111/jocs.14835. Epub 2020 Jul 15.

Minimally invasive triple valve surgery: A single center experience

Michael G Moront  1 , Michael Kuehne  1 , Roberta E Redfern  2
Affiliations

Minimally invasive triple valve surgery: A single center experience

Michael G Moront et al. J Card Surg. 2020 Oct.

Abstract

Objective: Minimally invasive surgery is a widely accepted surgical treatment for valve disease, however triple valve surgery (TVS) is a complex and challenging procedure. The objective of this study was to describe the morbidity and mortality related to minimally invasive TVS at our institution.

Methods: This was a retrospective review of all minimally invasive TVS performed between 2012 and 2019. Baseline and perioperative characteristics were reviewed, as were postoperative outcomes.

Results: Eighteen patients underwent TVS; 12 patients underwent additional procedures at the time of TVS. Median time to initial extubation was 11.5 hours (interquartile range [IQR] 9.8-13.3). Intensive care unit and total length of stay were 1.22 (IQR, 1.16-1.31) and 9 (IQR, 6-17) days, respectively. No hospital deaths occurred; 30-, 90-, and 365-day mortality were 0%. Two postoperative neurologic complications occurred, two patients had acute kidney injuries. The most common complication was rhythm disturbance with five patients requiring permanent pacemaker implantation. Mean follow-up was 39.9 months (252-2642 days).

Conclusions: Our findings demonstrate that minimally invasive TVS utilizing femoral cannulation results in an acceptable risk of complication. Short and intermediate term survival were excellent.

Keywords: minimally invasive; minithoracotomy; triple valve surgery.

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References

REFERENCES

    1. Iung B, Baron G, Butchart EG, et al. A prospective survey of patients with valvular heart disease in Europe: The Euro Heart Survey on alvular heart disease. Eur Heart J. 2003;24(13):1231-1243.
    1. Alsoufi B, Rao V, Borger MA, et al. Short- and long-term results of triple valve surgery in the modern era. Ann Thorac Surg. 2006;81(6):2172-2177.
    1. Leone A, Fortuna D, Gabbieri D, et al. Triple valve surgery: results from a multicenter experience. J Cardiovasc Med. 2018;19(7):382-388.
    1. Ohmes LB, Kim L, Feldman DN, et al. Contemporary prevalence, in-hospital outcomes, and prognostic determinants of triple valve surgery: national database review involving 5,234 patients. Int J Surg. 2017;44:132-138.
    1. Cohn LH, Adams DH, Couper GS, et al. Minimally invasive cardiac valve surgery improves patient satisfaction while reducing costs of cardiac valve replacement and repair. Ann Surg. 1997;226(4):421-426.

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