Minimally Invasive Multivalve Surgery Via A Direct Vision Approach,miami Method: Cheap And Reliable
Mugisha KYARUZI1, Hakki Kürşat ÇETİN2.
1İSTİNYE UNIVERSITY, istanbul, Turkey, 2ŞİŞLİ ETFAL TRAINING AND RESEARCH HOSPITAL, istanbul, Turkey.
BACKGROUND:Minimally invasive valve surgery is emerging as a routine approach for many centers around the world. The approach for valve surgery includes right minithoracotomy with the aid of port camera or robotic assisted. We would like to present our experience via miami method which is done under direct vision. METHODS:We analysed the baseline characteristics ,operative characteristics and postoperative outcomes of patients who underwent minimally invasive valve surgery via miami method between May 2021-september 2022.
RESULTS:Our experience includes 18 patients(14 males, 4 females). The mean age was 63±11. 1 patient had a history of congestive heart failure, 7 patients had chronic obstructive pulmonary disease, 1 patient had a history of chronic renal disease under medication. 4 patients had received aortic and mitral valve replacement, 3 patients had received aortic valve replacement, 5 patients had received mitral valve replecement,3 patients had mitral valve repair, 2 patients had received mitral and tricuspid valve repair, 1 patient had mitral and tricuspid valve replacement. There was no mortality. One patient had revision for bleeding, The mean CPB time was 147±33 minutes,the mean CCT was 98,5±23,0 minutes, the mean ICU stay was 18,0±3,1 hours,the mean hospital stay was 4,2±0,8 days CONCLUSIONS:Despite the low number of patients minimally invasive valve surgery via miami method is safe,feasible,cost effective and short learning curve with less morbidity,mortality as well as improved postoperative outcomes. 
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