Middle Eastern Experience In Minimally Invasive Mitral Valve Surgery
walid Abukhudairir, Bayan alshaikh, mai albarakati, maher alnajjar.
KFAFAH, jeddah, Saudi Arabia.
OBJECTIVE: Our aim was to evaluate our centre experience and outcomes in Minimally invasive mitral valve surgery (MIMVR) through right mini-thoracotomy .
METHODS: Between January 2005 until November 2016, a total of 386 patients underwent mitral valve surgery (MV) with (265) 68.6% isolated MV surgery and (121) 31.3% with concomitant Tricuspid valve (TV) surgery underwent MIMVR surgery at King Fahad Armed Forces Hospital (KFAFH). The mean age was 39 ± 20 years and mean LVEF was 45.6%± 7.2 % . The Average logistic EuroSCORE was 10.2 %± 4.4%, patients had an average follow-up of 36± 12 months .
RESULTS: Intra-operatively patient had a mean bypass time 155 ± 60 min , cross clamp time 70 ± 30 min and conversion to sternotomy 0.7% in 3 patients . Overall in-hospital mortality was 0.7 % with 3 in-hospital deaths , mean ICU stay 4 ± 2 days (d) and length of stay (LOS) 7± 2 d . Stroke rate was 0.2% in 1 patient , no lower limb ischemia and 4.1 % 16 patients with groin wound infection . 4 years follow up showed functional class NYHA I in 90.7% II in 5.9% III &IV IN 3.3%, freedom from MV-related reoperation was 95.3% and survival was 90.1%. .
CONCLUSIONS: Our experience in MIMVR for patients with mitral valve disease both degenerative and rheumatic is a safe and feasible with excellent both short ,midterm outcomes and improved patient satisfaction .
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