Back to 2024 Display ePosters
Endoscopic Mitral Valve Surgery In Octagenarians: Early And Mid-term Results
rosa giusti, rafik margaryan, giacomo bianchi, marco solinas;
Ospedale del Cuore, massa, Italy
BACKGROUND: in centres with high procedural expertise, mitral valve repair is the treatment of choice, according to the guidelines. Longer life expectancy leads to increased cardiac surgery performed after age 80. The aim of this study is to summarize endoscopic mitral valve surgery experience in octogenarians, evaluating safety, early and mid-term results.
METHODS: From July 2015 to April 2023 34 patients with age of 80 or above underwent isolated or concomitant mitro-tricuspid surgery via 4 cm right thoracotomy in totally endoscopic setup. All electronic health records were reviewed for this study and all data are available in our institute's electronic health system. Telephone calls were used for recent follow-up data and recent outpatient clinic records.
RESULTS: The mean age of the patients was 82.7 years, 62% were male, and 76% of the patients had undergone mitral valve repair. The average hospital stay was 8.3 days. At a mean follow-up of 3 years, the survival rate was 88.2%. Only 2 patients among the survivors had moderate or above residual mitral valve regurgitation. The mean NYHA class was 1.4 (only three patients had NYHA class 3 or higher).
CONCLUSIONS: Endoscopic mitral valve surgery is a valid technique for special groups such as octogenarians. It can produce excellent results with a good repair rate and less surgical trauma. Our experience showed safe feasibility, excellent early and good mid-term results.
Back to 2024 Display ePosters
