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Komarov R.N.

Sechenov First Moscow State Medical University

Matsuganov D.A.

Chelyabinsk Regional Clinical Hospital;
South Ural State Medical University

Nuzhdin M.D.

Chelyabinsk Regional Clinical Hospital

Bystrov D.O.

Volosevich Arkhangelsk City First Clinical Hospital

Danachev A.O.

Sechenov First Moscow State Medical University

Mitral valve surgery via minimally invasive and conventional access

Authors:

Komarov R.N., Matsuganov D.A., Nuzhdin M.D., Bystrov D.O., Danachev A.O.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2024;(4): 69‑74

DOI: 10.17116/hirurgia202404169

Views: 523

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To cite this article:

Komarov RN, Matsuganov DA, Nuzhdin MD, Bystrov DO, Danachev AO. Mitral valve surgery via minimally invasive and conventional access. Pirogov Russian Journal of Surgery. 2024;(4):69‑74. (In Russ.)
https://doi.org/10.17116/hirurgia202404169

Подписка 2025 (Pirogov Russian Journal of Surgery)
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OBJECTIVE

To compare the immediate results of mini-thoracotomy and sternotomy in patients with mitral valve disease.

MATERIAL AND METHODS

The study included 52 patients who underwent mitral valve surgery (25 cases — mini-thoracotomy, 27 cases — sternotomy).

RESULTS

Aortic cross-clamping time was significantly longer in sternotomy compared to mini-thoracotomy group — 110 vs 94 min (p=0.03). Ventilation time was also significantly longer in the sternotomy group (12 vs. 8 hours, p=0.01). Postoperative morbidity was similar (postoperative wound infection, neurological complications, coronavirus disease, overall in-hospital mortality).

CONCLUSION

In addition to cosmetic effect, minimally invasive approach in mitral valve surgery has some other advantages including less duration of aortic cross-clamping and mechanical ventilation, availability of reconstructive interventions due to better exposition of the mitral valve and subvalvular structures.

Keywords:

mitral valve
sternotomy
mini-thoracotomy

Authors:

Komarov R.N.

Sechenov First Moscow State Medical University

Matsuganov D.A.

Chelyabinsk Regional Clinical Hospital;
South Ural State Medical University

Nuzhdin M.D.

Chelyabinsk Regional Clinical Hospital

Bystrov D.O.

Volosevich Arkhangelsk City First Clinical Hospital

Danachev A.O.

Sechenov First Moscow State Medical University

Received:

24.07.2023

Accepted:

27.10.2023

List of references:

  1. Fukushima S, Kakuta T, Fujita T. [Standadizing Right Minithoracotomy Valvular Surgery]. Kyobu Geka. 2020;73(7):490-495. 
  2. Carpentier A, Loulmet D, Carpentier A, Le Bret E, Haugades B, Dassier P, Guibourt P. Open heart operation under videosurgery and minithoracotomy. First case (mitral valvuloplasty) operated with success. Comptes Rendus de l’Académie des Sciences — Series III. 1996;319:219-223. 
  3. Chernov II, Kozmin DYu, Urtaev RA, Makeev SA, Kondratiev DA, Tarasov DG. First experience of minimally invasive operations on the mitral valve. Clinical and experimental surgery. 2013;2(2):20-23. (In Russ.).
  4. Shmyrev VA, Ponomarev DN, Perovskiy PP, Bogachev-Prokof’yev AV, Lomivorotov VV. Miniinvazivnaya khirurgiya mitral’nogo klapana. Vzglyad anesteziologa. Patologiya krovoobrashcheniya i kardiokhirurgiya. 2013;17:4:11-14. (In Russ.).
  5. Pidanov OYu, Shcherbatyuk KV, Kolomeichenko NA, Tsepenshchikov VA. Minimally invasive interventions in patients with mitral heart defects. Thoracic and cardiovascular surgery. 2018;60(1):19-27. (In Russ.).
  6. Shcherbatyuk KV, Pidanov OYU, Tsepenshchikov VA, Vasyagin YeV, Dvoryanchikova VA, Sukhotin VN, Avrusina YeK, Komarov RN. Minitorakotomiya i sternotomiya v khirurgii mitral’nogo klapana: neposredstvennyye rezul’taty. XXIII Vserossiyskiy s»yezd serdechno-sosudistykh khirurgov, doklad. Assotsiatsiya serdechno-sosudistykh khirurgov Rossii. (In Russ.). https://racvs.ru/events/archive/xxiii_vserossiyskiy_sezd_serdechnososudistykh_khirurgov/minitorakotomiya_i_sternotomiya_v_khirurgii_mitralnogo_klapana_neposredstvennye_rezultaty
  7. Khvan NYe, Payvin AA, Yurchenko DL, Denisyuk DO, Snegirev MA, Sichinava LB. Primeneniye pravostoronney perednebokovoy minitorakotomii v lechenii patologii mitral’nogo klapana. XXIII Vserossiyskiy s»yezd serdechno-sosudistykh khirurgov, doklad. Assotsiatsiya serdechno-sosudistykh khirurgov Rossii. (In Russ.). https://racvs.ru/events/archive/xxiii_vserossiyskiy_sezd_serdechnososudistykh_khirurgov/primenenie_pravostoronney_perednebokovoy_minitorakotomii_v_lechenii_patologii_mitralnogo_klapana_/
  8. Percy E, Hirji S, Yazdchi F, McGurk S, Kiehm S, Kaneko T, Shekar P, Pelletier M. Long-term Outcomes of Right Mini-thoracotomy versus Hemi-sternotomy For Mitral Valve Repair. XIX annual scientific ISMICS meeting. 2019. https://meetings.ismics.org/abstracts/2019/C2.cgi
  9. Brandão MAC, Veronese ET, Pomerantzeff PMA, Lima MSM, Tarasoutchi F, Jatene FB. Comparison between Conventional and Minimally Invasive Mitral Valve Surgery. A Brazilian Single-center Experience. XIX annual scientific ISMICS meeting. 2019. https://meetings.ismics.org/abstracts/2019/P89.cgi

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