Minimally Invasive Mitral Valve Surgery: A Systematic Review

In the recent years minimally invasive mitral valve surgery (MIMVS) has become a well-established and increasingly used option for managing patients with a mitral valve pathology. Nonetheless, whether the purported benefits of MIMVS translate into clinically important outcomes remains controversial. Therefore, in this paper we provide an overview of MIMVS and discuss results, morbidity, mortality, and quality of life following mitral minimally invasive procedures. MIMVS has been proven to be a feasible alternative to the conventional full sternotomy approach with low perioperative morbidity and short-term mortality. Reported benefits of MIMVS include also decreased postoperative pain, improved postoperative respiratory function, reduced surgical trauma, and greater patient satisfaction. Finally, compared to standard surgery, MIMVS demonstrated comparable efficacy across a range of long-term efficacy measures such as freedom from reoperation and long-term survival.

[1]  J. Takeda,et al.  Comparison of early postoperative quality of life in minimally invasive versus conventional valve surgery , 2003, Journal of Anesthesia.

[2]  F. Mohr,et al.  Robot-assisted minimally invasive solo mitral valve operation. , 1998, The Journal of thoracic and cardiovascular surgery.

[3]  W. Chitwood,et al.  Video-assisted minimally invasive mitral valve surgery: the "micro-mitral" operation. , 1997, The Journal of thoracic and cardiovascular surgery.

[4]  A. Galloway,et al.  Minimally invasive port access surgery reduces operative morbidity for valve replacement in the elderly. , 1999, The heart surgery forum.

[5]  G. Guiraudon,et al.  Extended vertical transatrial septal approach to the mitral valve. , 1991, The Annals of thoracic surgery.

[6]  T. Mihaljevic,et al.  One Thousand Minimally Invasive Valve Operations: Early and Late Results , 2004, Annals of surgery.

[7]  Mark S Slaughter,et al.  Minimally invasive mitral valve repair using the da Vinci robotic system. , 2004, The Annals of thoracic surgery.

[8]  Qingyu Wu,et al.  Mitral valve replacement through a minimal right vertical infra-axillary thoracotomy versus standard median sternotomy. , 2009, The Annals of thoracic surgery.

[9]  K. Hamano,et al.  Stress Caused by Minimally Invasive Cardiac Surgery versus Conventional Cardiac Surgery: Incidence of Systemic Inflammatory Response Syndrome , 2001, World Journal of Surgery.

[10]  A. Galloway,et al.  Minimally invasive versus sternotomy approaches for mitral reconstruction: comparison of intermediate-term results. , 2001, The Journal of thoracic and cardiovascular surgery.

[11]  Aaas News,et al.  Book Reviews , 1893, Buffalo Medical and Surgical Journal.

[12]  M. Swaminathan,et al.  Mitral valve surgery and acute renal injury: port access versus median sternotomy. , 2003, The Annals of thoracic surgery.

[13]  Chitwood Wr.  State of the art review: videoscopic minimally invasive mitral valve surgery. Trekking to a totally endoscopic operation. , 1998 .

[14]  D. Follette,et al.  Poststernotomy fractures and pain management in open cardiac surgery. , 1994, Chest.

[15]  A. Gillinov,et al.  Hemisternotomy Approach for Aortic and Mitral Valve Surgery , 2000, Journal of cardiac surgery.

[16]  L. Cohn,et al.  Minimally invasive mitral valve repair with and without robotic technology in the elderly. , 2006, The American journal of geriatric cardiology.

[17]  T. Burdon,et al.  Monitoring considerations for port-access cardiac surgery. , 1997, Circulation.

[18]  G. Grunkemeier,et al.  Mitral valve operations through standard and smaller incisions. , 2004, The heart surgery forum.

[19]  Alan P. Kypson,et al.  Robotic mitral valve surgery. , 2003, Seminars in thoracic and cardiovascular surgery.

[20]  Increased Mortality, Postoperative Morbidity, and Cost After Red Blood Cell Transfusion in Patients Having Cardiac Surgery , 2007 .

[21]  A. Galloway,et al.  Minimally invasive mitral valve surgery: a 6-year experience with 714 patients. , 2002, The Annals of thoracic surgery.

[22]  G. Daccache,et al.  Comparison of minithoracotomy and conventional sternotomy approaches for valve surgery. , 2003, Journal of cardiothoracic and vascular anesthesia.

[23]  D. Murphy,et al.  Endoscopic robotic mitral valve surgery. , 2006, The Journal of thoracic and cardiovascular surgery.

[24]  D. Glower,et al.  Mitral valve operation via Port Access versus median sternotomy. , 1998, European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery.

[25]  Editorial analysis: impact of perfusion strategy on stroke risk for minimally invasive cardiac surgery. , 2012, European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery.

[26]  Ansar Hassan,et al.  Minimally invasive mitral valve surgery: a systematic review and meta-analysis. , 2008, European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery.

[27]  Chris A Rogers,et al.  Increased Mortality, Postoperative Morbidity, and Cost After Red Blood Cell Transfusion in Patients Having Cardiac Surgery , 2007, Circulation.

[28]  A. Galloway,et al.  Impact of minimally invasive valvular heart surgery: a case-control study. , 2001, The Annals of thoracic surgery.

[29]  N. Weinzweig,et al.  Transposition of the Greater Omentum for Recalcitrant Median Sternotomy Wound Infections , 1995, Annals of plastic surgery.

[30]  G. Angelini,et al.  Median sternotomy wound dehiscence: a retrospective case control study of risk factors and outcome. , 1992, Journal of the Royal College of Surgeons of Edinburgh.

[31]  L. Nifong,et al.  Robotic mitral valve surgery. , 2004, The Surgical clinics of North America.

[32]  D. Loulmet,et al.  Evolution of operative techniques and perfusion strategies for minimally invasive mitral valve repair. , 2012, The Journal of thoracic and cardiovascular surgery.

[33]  L. Cohn,et al.  Minimally invasive mitral valve repair suggests earlier operations for mitral valve disease. , 2003, The Journal of thoracic and cardiovascular surgery.

[34]  N. Doll,et al.  Midterm Results After Stentless Mitral Valve Replacement , 2003, Circulation.

[35]  A. Carpentier,et al.  Chirurgie à cœur ouvert assistée par ordinateur. Premier cas opéré avec succès , 1998 .

[36]  L. Cohn,et al.  Comparative morbidity of mitral valve repair versus replacement for mitral regurgitation with and without coronary artery disease. 1988. Updated in 1995. , 1995, The Annals of thoracic surgery.

[37]  C. Dubost,et al.  [New technic of opening of the left auricle in open-heart surgery: the transseptal bi-auricular approach]. , 1966, La Presse medicale.

[38]  T. Robinson,et al.  Minimally invasive surgery , 1999, European Surgical Research.

[39]  Kevin Barraclough,et al.  I and i , 2001, BMJ : British Medical Journal.

[40]  M. Chung,et al.  Atrial fibrillation early postoperatively following minimally invasive cardiac valvular surgery. , 1999, The American journal of cardiology.

[41]  F. Mohr,et al.  Cerebral microemboli during minimally invasive and conventional mitral valve operations. , 2000, The Annals of thoracic surgery.

[42]  G. G. Stokes.  "J." , 1890, The New Yale Book of Quotations.

[43]  W. Daniel,et al.  Port-Access coronary artery bypass grafting with the use of cardiopulmonary bypass and cardioplegic arrest. , 1998, The Annals of thoracic surgery.

[44]  T. Aybek,et al.  Minimally invasive port access versus conventional mitral valve surgery: prospective randomized study. , 2005, The Annals of thoracic surgery.

[45]  L. Nifong,et al.  The Evolution of and Early Experience With Robot-Assisted Mitral Valve Surgery , 2001, Current surgery.

[46]  T Walther,et al.  Minimally invasive port-access mitral valve surgery. , 1998, The Journal of thoracic and cardiovascular surgery.

[47]  G. Angelini,et al.  Off-Pump versus Conventional Coronary Artery Bypass Grafting: A Meta-Analysis and Consensus Statement From The 2004 ISMICS Consensus Conference. , 2005 .

[48]  W. Chitwood,et al.  Minimally invasive mitral valve repair using transthoracic aortic occlusion. , 1997, The Annals of thoracic surgery.

[49]  L. Cohn,et al.  Comparative morbidity of mitral valve repair versus replacement for mitral regurgitation with and without coronary artery disease. , 1988, The Annals of thoracic surgery.

[50]  G. Angelini,et al.  Off-Pump versus Conventional Coronary Artery Bypass Grafting: A Meta-Analysis and Consensus Statement from the 2004 ISMICS Consensus Conference , 2005, Innovations.

[51]  D. Loulmet,et al.  Minimally invasive valve surgery with antegrade perfusion strategy is not associated with increased neurologic complications. , 2011, The Annals of thoracic surgery.

[52]  W. Chitwood,et al.  Robotic mitral valve surgery: a United States multicenter trial. , 2005, The Journal of thoracic and cardiovascular surgery.

[53]  Volkmar Falk,et al.  Minimal invasive mitral valve repair for mitral regurgitation: results of 1339 consecutive patients. , 2008, European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery.

[54]  S. A. Levine,et al.  Cardiotomy and Valvulotomy for Mitral Stenosis; Experimental Observations and Clinical Notes Concerning an Operated Case with Recovery , 1923 .

[55]  S. J. Wright,et al.  Coronary sinus catheterization made easy for Port-Access miimally invasive cardiac surgery. , 1998, Journal of cardiothoracic and vascular anesthesia.

[56]  L. Cohn,et al.  Early and late outcomes in minimally invasive mitral valve repair: an eleven-year experience in 707 patients. , 2009, The Journal of thoracic and cardiovascular surgery.

[57]  L. Nifong,et al.  Minimally Invasive versus Open Mitral Valve Surgery a Consensus Statement of the International Society of Minimally Invasive Coronary Surgery (ISMICS) 2010 , 2011, Innovations.

[58]  Sean M. O'Brien,et al.  J. Maxwell Chamberlain Memorial Paper for adult cardiac surgery. Less-invasive mitral valve operations: trends and outcomes from the Society of Thoracic Surgeons Adult Cardiac Surgery Database. , 2010, The Annals of thoracic surgery.

[59]  R. Michler,et al.  An alternative surgical approach to facilitate minimally invasive mitral valve surgery. , 2002, The Annals of thoracic surgery.

[60]  L. Cohn,et al.  Minimally invasive cardiac valve surgery improves patient satisfaction while reducing costs of cardiac valve replacement and repair. , 1997, Annals of surgery.

[61]  W. Brown,et al.  Peripheral nerve injuries in cardiac anaesthesia. , 1990, Canadian journal of anaesthesia = Journal canadien d'anesthesie.

[62]  C Cardon,et al.  [Computer assisted open heart surgery. First case operated on with success]. , 1998, Comptes rendus de l'Academie des sciences. Serie III, Sciences de la vie.

[63]  B. Griffith,et al.  Small-Incision Mitral Valve Repair: Safe, Durable, and Approaching Perfection , 2009, Annals of surgery.

[64]  J. Magovern,et al.  Prolonged open sternotomy and delayed sternal closure after cardiac operations. , 1992, The Annals of thoracic surgery.

[65]  R. Habib,et al.  Factors predisposing to median sternotomy complications. Deep vs superficial infection. , 1996, Chest.

[66]  J. Ebersole,et al.  Ulnar neuropathy after median sternotomy. , 1993, Clinical orthopaedics and related research.

[67]  F. Loop,et al.  Mechanism and frequency of brachial plexus injury in open-heart surgery: a prospective analysis. , 1983, The Annals of thoracic surgery.

[68]  A. Galloway,et al.  First report of the Port Access International Registry. , 1999, The Annals of thoracic surgery.

[69]  Alan P. Kypson,et al.  Robotics in valvular surgery: 2003 and beyond , 2004, Current opinion in cardiology.

[70]  A. Galloway,et al.  Minimally invasive mitral valve replacement: port-access technique, feasibility, and myocardial functional preservation. , 1997, The Journal of thoracic and cardiovascular surgery.

[71]  F. Mohr,et al.  Five years of less invasive mitral valve surgery: from experimental to routine approach. , 2002, The heart surgery forum.

[72]  W. Chitwood,et al.  The evolution of and early experience with robot-assisted mitral valve surgery. , 2002, Surgical laparoscopy, endoscopy & percutaneous techniques.

[73]  F. Mohr,et al.  Early clinical results after stentless mitral valve implantation and comparison with conventional valve repair or replacement. , 1999, Circulation.

[74]  Jan D Schmitto,et al.  Minimally-invasive valve surgery. , 2010, Journal of the American College of Cardiology.

[75]  I. Kronzon,et al.  Intraoperative echocardiography in minimally invasive cardiac surgery and novel cardiovascular surgical techniques. , 2004, The American heart hospital journal.

[76]  T Walther,et al.  Pain and quality of life after minimally invasive versus conventional cardiac surgery. , 1999, The Annals of thoracic surgery.

[77]  W. Chapman,et al.  Video-assisted minimally invasive mitral valve surgery. , 1997, The Journal of thoracic and cardiovascular surgery.

[78]  R. S. Mitchell,et al.  Port-access coronary artery bypass grafting: a proposed surgical method. , 1996, The Journal of thoracic and cardiovascular surgery.

[79]  Jeevanantham Rajeswaran,et al.  Minimally invasive versus conventional mitral valve surgery: a propensity-matched comparison. , 2010, The Journal of thoracic and cardiovascular surgery.

[80]  Neil Genzlinger.  A. and Q , 2006 .

[81]  F. Mohr,et al.  The evolution of minimally invasive mitral valve surgery 2 year experience 1 Presented at the 12th , 1999 .

[82]  M. Russo,et al.  Comparative effectiveness of minimally invasive versus traditional sternotomy mitral valve surgery in elderly patients. , 2012, The Journal of thoracic and cardiovascular surgery.

[83]  A. Galloway,et al.  Retrograde arterial perfusion, not incision location, significantly increases the risk of stroke in reoperative mitral valve procedures. , 2010, The Annals of thoracic surgery.

[84]  W. Chitwood,et al.  Evolution of mitral valve surgery: toward a totally endoscopic approach. , 2001, The Annals of thoracic surgery.

[85]  S. Bolling,et al.  Mini‐Reoperative Mitral Valve Surgery , 1998, Journal of cardiac surgery.

[86]  Miss A.O. Penney.  (b) , 1974, The New Yale Book of Quotations.

[87]  D. Cosgrove,et al.  Minimally invasive mitral valve operations. , 1996, The Annals of thoracic surgery.

[88]  Repair of Mitral Regurgitation from Myxomatous Degeneration in the Patient with a Severely Calcified Posterior Annulus , 1995, Journal of cardiac surgery.

[89]  R. Walesby,et al.  Median sternotomy wound dehiscence: a retrospective case control study of risk factors and outcome. , 1993, Journal of the Royal College of Surgeons of Edinburgh.