Minimally Invasive Mitral Valve Repair Using Neochordea Technique
walid Abukhudair, bayan alshaikh, ehab noureldin.
KFAFAH, jeddah, Saudi Arabia.
OBJECTIVE: To evaluate our center experience and outcome in minimally invasive mitral valve repair (MIMVp) using neo-chordal creation technique .
METHODS: Between January 2005 until November 2016,we identified a total of 386 patients underwent minimally invasive mitral valve surgery (MV) with 80 patients who underwent MIMVp using neo-chordal creation technique at King Fahad Armed Forces Hospital (KFAFH). All patient had annuloplasty along with the neo-chordal creation . The mean age was 43 ± 15 years and mean LVEF was 40 % . Patients had an average follow-up of 36± 12 months .
RESULTS: Intra-operatively patient had a mean bypass time 110 ± 20 min , cross clamp time 80± 15 min and 1.25%(n=1) conversion to sternotomy. 1.25% (n=1) in-hospital mortality , mean ICU stay 4 ± 2 days (d) and length of stay (LOS) 7± 2 d . We had no Strokes , no lower limb ischemia and 3.75 % (n=3) patient with groin wound infection . 4 years follow up showed freedom from MV-related reoperation was 93.7%(n=75) and no mortalities .
CONCLUSIONS: Neo-chordea technique in mitral valve repair when combined with minimally invasive cardiac surgery results in low mortality and morbidity, short hospital and ICU stay and excellent midterm result .
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