International Society For Minimally Invasive Cardiothoracic Surgery

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Totally Endoscopic Mitral Valve Repair With The Use Of An Innovative Adjustable Artificial Chord.
Boris Robic1, Pascal Starinieri2, Silke Van Genechten2, Alaaddin Yilmaz2.
1University Medical Centre Maribor, Maribor, Slovenia, 2Jessa Hospital, Hasselt, Belgium.

BackgroundMitral valve surgery through Video Assisted Thoracoscopy (MVATS) without the use of robotics, is a new closed chest technique. This endoscopic technique combined with an adjustable chord encourages and simplifies the mitral valve repair in the minimal invasive approach. MVATS has been developed in an attempt to decrease postoperative pain and promote the postoperative course. MethodsFrom January 2017 to December 2018, prospective collected retrospective data from fifty patients undergoing endoscopic isolated mitral valve surgery with adjustable artificial chord has been analysed. ResultsThe procedure was successful in all patients, requiring no conversion to full sternotomy. The mean length of stay at the hospital and ICU stay were 11.1 7.3 days and 72.5 32.8 hours, respectively. Mean cross-clamping times were 90.7 13.4 minutes. Peroperative blood loss and post-operative blood loss were 398.5 371.5mL and 457.5 236.7 mL. There were no re-explorations for bleeding and no major events occurred.ConclusionBased on the collected data, mitral valve repair through VATS technique and the use of an adjustable artificial chord provides good clinical results.

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