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General Thoracic and Cardiovascular Surgery
Published in: General Thoracic and Cardiovascular Surgery 12/2016

01-12-2016 | Current Topics Review Article

Minimally invasive mitral valve surgery through a right mini-thoracotomy

Author: Taichi Sakaguchi

Published in: General Thoracic and Cardiovascular Surgery | Issue 12/2016

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Abstract

Since its introduction in the mid-1990s, minimally invasive mitral valve surgery (MIMVS) has been shown to be a feasible alternative to a conventional full-sternotomy approach, and several studies have reported excellent clinical outcomes with low perioperative morbidity and mortality. As a result, MIMVS is being increasingly employed as a routine procedure worldwide. On the other hand, several issues have been raised, including complications specific to this technique and its steep learning curve, while there are also concerns regarding the durability of a mitral valve repair through a limited access. In this study, the current status and future perspectives of MIMVS were examined.
Literature
1.
Nishimura RA, Otto C. 2014 ACC/AHA valve guidelines: earlier intervention for chronic mitral regurgitation. Heart. 2014;100:905–7.CrossRefPubMed
2.
Suri RM, Shaff HV, Sarano ME. Mitral valve repair in asymptomatic patients with severe mitral regurgitation: pushing past the tipping point. Semin Thorac Surg. 2014;26:95–101.
3.
Gammie JS, Zhao Y, Peterson ED, O’Brien SM, Scott R, Griffith BP. Less-invasive mitral valve operations: trends and outcomes from the society of thoracic surgeons adult cardiac database. Ann Thorac Surg. 2010;90:1401–10.CrossRefPubMed
4.
Nishi H, Miyata H, Motomura N, Toda K, Miyagawa S, Sawa Y, et al. Propensity-matched analysis of minimally invasive mitral valve repair using a nationwide surgical database. Surg Today. 2015;45:1144–52.CrossRefPubMed
5.
Modi P, Hassan A, Chitwood WR Jr. Minimally invasive mitral valve surgery: a systematic review and meta-analysis. Eur J Cardiothorac Surg. 2008;34:943–52.CrossRefPubMed
6.
Cheng DCH, Martin J, Lal A, Diegeler A, Folliguet TA, Nifong LW, et al. Minimally invasive versus conventional open mitral valve surgery—a meta-analysis and systematic review. Innovations. 2011;6:84–103.PubMed
7.
Luca F, van Garsse L, Rao CM, Parise O, La Meir M, Puntrello C, et al. Minimally invasive mitral valve surgery: a systematic review. Minim Invasive Surg. 2013;. doi:10.​1155/​2013/​179569.
8.
Algarni KD, Suri RA, Shaff H. Minimally invasive mitral valve surgery: does it make a difference? Trends Cardiovasc Med. 2015;25:456–65.CrossRefPubMed
9.
Navia JL, Cosgrove DM. Minimally invasive mitral valve operations. Ann Thorac Surg. 1996;62:1542–4.CrossRefPubMed
10.
Cohn LH, Adams DH, Couper GS, Bichell DP, Rosborough DM, Sears SP, et al. Minimally invasive cardiac valve surgery improves patient satisfaction while reducing costs of cardiac valve replacement and repair. Ann Surg. 1997;226:421–8.CrossRefPubMedPubMedCentral
11.
McClure RS, Cohn LH, Wiegerinck E, Couper GS, Aranki SF, Bolman RM 3rd, et al. Early and late outcomes in minimally invasive mitral valve repair: an eleven-year experience in 707 patients. J Thorac Cardiovasc Surg. 2009;137:70–5.CrossRefPubMed
12.
Masiello P, Coscioni E, Panza A, Triumbari F, Preziosi G, Di Benedetto G. Surgical results of aortic valve replacement via partial upper sternotomy: comparison with median sternotomy. Cardiovasc Surg. 2002;10:333–8.CrossRefPubMed
13.
Carpentier A, Loulmet D, Carpentier A, LeBret E, Haugades B, Dassier P, et al. Open heart operation under videosurgery and minithoracotomy First case (mitral valvuloplasty) operated with success. C R Acad Sci III. 1996;319:219–23 (French).PubMed
14.
Chitwood WR Jr, Wixon CL, Elveery JR, Moran JF, Chapman WH. Video-assisted minimally invasive mitral valve surgery. J Thorac Cardiovasc Surg. 1997;114:773–82.CrossRefPubMed
15.
Mohr FW, Falk V, Diegeler A, Walther T, van Son JA, Autschbach R. Minimally invasive port-access mitral valve surgery. J Thorac Cardiovasc Surg. 1998;115:567–76.CrossRefPubMed
16.
Chitwood WR, Rodoriguez E. Minimally invasive and robotic mitral valve surgery. In: Cohn LH, editor. Cardiac surgery in the adult. 3rd ed. New York: McGraw-Hill; 2008. p. 1079–100.
17.
Kudo M, Yozu R. Minimally invasive surgery of mitral valve (MIS-MV). Gen Thorac Cardiovasc Surg. 2014;62:342–50.CrossRefPubMed
18.
Glauber M, Miceli A, Canarutto D, Lio A, Murzi M, Gilmanov D, et al. Early and long-term outcomes of minimally invasive mitral valve surgery through right minithoracotomy: a 10-year experience in 1604 patients. J Cardiothorac Surg. 2015;10:181.CrossRefPubMedPubMedCentral
19.
Davierwala PM, Seeburger J, Pfannmueller B, Garbade J, Misfeld M, Borger MA, et al. Minimally invasive mitral valve surgery; “the Leipzig experience”. Ann Cardiothorac Surg. 2013;2:744–50.PubMedPubMedCentral
20.
Casselman FP, Slycke SV, Wellens F, Geest RD, Degrieck I, Praet FV, et al. Mitral valve surgery can now routinely be performed endoscopically. Circulation. 2003;108:48–54.CrossRef
21.
Ito T. Minimally invasive mitral valve surgery through right mini-thoracotomy: recommendations for good exposure, stable cardiopulmonary bypass, and secure myocardial protection. Gen Thorac Cardiovasc Surg. 2015;63:371–8.CrossRefPubMed
22.
Mihaljevic T, Jarrett CM, Gillinov AM, Williams S, DeVilliers PA, Stewart WJ, et al. Robotic repair of posterior mitral valve prolapse versus conventional approaches: potential realized. J Thorac Cardiovasc Surg. 2011;141:72–80.CrossRefPubMed
23.
Falk V, Cheng DCH, Martin J, Dieleger A, Folliguet TA, Nifong LW, et al. Minimally invasive versus open mitral valve surgery: a consensus statement of the international society of minimally invasive coronary surgery (ISMICS) 2010. Innovations. 2011;6:66–76.PubMed
24.
Sundermann SH, Sromicki J, Biefer HRC, Seifert B, Holubec T, Falk V, et al. Mitral valve surgery: right lateral minithoracotomy or sternotomy? a systematic review and meta-analysis. J Thorac Cardiovasc Surg. 2014;148:1989–95.CrossRefPubMed
25.
Grossi EA, Loulmet DF, Schwartz CR, Ursomanno P, Zias EA, Dellis SL, et al. Evolution of operative techniques and perfusion strategies for minimally invasive mitral valve repair. J Thorac Cardiovasc Surg. 2012;143:S68–70.CrossRefPubMed
26.
Iribarne A, Russo MJ, Easterwood R, Hong KN, Yang J, Cheema FH, et al. Minimally invasive versus sternotomy approach for mitral valve surgery: a propensity analysis. Ann Thorac Surg. 2010;90:1471–8.CrossRefPubMed
27.
Grossi EA, Galloway AC, Ribakove GH, Zakow PK, Derivaux CC, Baumann FG, et al. Impact of minimally invasive valvular heart surgery: a case-control study. Ann Thorac Surg. 2001;71:807–10.CrossRefPubMed
28.
Seeburger J, Borger MA, Falk V, Kuntze T, Czesla M, Warther T, et al. Minimal invasive mitral valve repair for mitral regurgitation: results of 1339 consecutive patients. Eur J Cartiothorac Surg. 2008;34:760–5.CrossRef
29.
Holzhey DM, Seeburger J, Misfeld M, Borger MA, Mohr FW. Learning minimally invasive mitral valve surgery. A cumulative sum sequential probability analysis of 3895 operations from a single high-volume center. Circulation. 2013;128:483–91.CrossRefPubMed
30.
Madershahian N, Wippermann J, Sindhu D, Wahlers T. Unilateral re-expansion pulmonary edema: a rare complication following one-lung ventilation for minimal invasive mitral valve reconstruction. J Card Surg. 2009;24:693–4.CrossRefPubMed
31.
Keyl C, Staier K, Pingpoh C, Pache G, Thoma M, GUnkel L, et al. Unilateral pulmonary oedema after minimally invasive cardiac surgery via right anterolateral minithoracotomy. Eur J Cardiothorac Surg. 2015;47:1097–102.CrossRefPubMed
32.
Tutschka MP, Bainbridge D, CHu MW, Kiali B, Jones PM. Unilateral postoperative pulmonary edema after minimally invasive cardiac surgical procedures; a case-control study. Ann Thorac Surg. 2015;99:115–22.CrossRefPubMed
33.
Irisawa Y, Hiraoka A, Totsugawa T, Chikazawa G, Nakajima K, Tamura K, et al. Re-expansion pulmonary oedema after minimally invasive cardiac surgery with right mini-thoracotomy. Eur J Cardiothorac Surg. 2016;49:500–5.CrossRefPubMed
34.
Kanemitsu N, Yamanaka K, Nishina T, Hirose K, Mizuno A, Nakatsuka D, et al. Re-expansion pulmonary edema after mitral valve plasty via small right thoracotomy. Jpn J Cardiovasc Surg. 2014;43:213–7 (Japanese).CrossRef
35.
Cho SR, Lee JS, Kim MS. New treatment method for reexpansion pulmonary edema: differential lung ventilation. Ann Thorac Surg. 2005;80:1933–4.CrossRefPubMed
36.
Kitahara H, Okamoto K, Kudo M, Yoshitake A, Ito T, Hayashi K, et al. Alternative peripheral perfusion strategies for safe cardiopulmonary bypass in atrial septal defect closure via a right minithoracotomy approach. Gen Thorac Cardiovasc Surg. 2016;64:131–7.CrossRefPubMed
37.
Jeanmart H, Casselman FP, Grieck YD, Bakir I, Cosswna J, Foubert L, et al. Avoiding vascular complications during minimally invasive, totally endoscopic intracardiac surgery. J Thorac Cardiovasc Surg. 2007;133:1066–70.CrossRefPubMed
38.
Bonaros N, Wiedemann D, Nagiller J, Feuchtner G, Kolbitsch C, Kaufmann M, et al. Distal leg protection for peripheral cannulation in minimally invasive and totally endoscopic cardiac surgery. Heart Surg Forum. 2009;12:E158–62.CrossRefPubMed
39.
Schachner T, Bonaros N, Bonatti J. Kolbitsch. Near infrared spectroscopy for controlling the quality of distal perfusion in remote access cardiopulmonary bypass. Eur J Cardiothorac Surg. 2008;34:1253–4.CrossRefPubMed
40.
Iribarne A, Easterwood R, Yang J, Dayal R, Argenziatno M. Retroperitoneal hematoma with abdominal compartment syndrome during minimally invasive mitral valve replacement. Ann Thorac Surg. 2010;89:e17–8.CrossRefPubMedPubMedCentral
41.
Nishi H, Toda K, Miyagawa S, Yoshikawa Y, Fukushima S, Yoshioka D, et al. Secondary abdominal compartment syndrome required decompression laparotomy during minimally invasive mitral valve repair. Surg Case Rep. 2016;2:3.CrossRefPubMedPubMedCentral
42.
Anyanwu AC, Adams DH. Should complex mitral valve repair be routinely performed using a minimally invasive approach? Curr Opin Cardiol. 2012;27:118–24.CrossRefPubMed
43.
Galloway AC, Schwartz CF, Ribakove GH, Crooke FA, Gogoladze G, Ursomanno P, et al. A decade of minimally invasive mitral repair: long-term outcomes. Ann Thorac Surg. 2009;88:1180–4.CrossRefPubMed
44.
Miura T, Ariyoshi T, Tanigawa K, Matsukuma S, Yokose S, Sumi M, et al. Technical aspects of mitral valve repair in Barlow’s valve with prolapse of both leaflets: triangular resection for excess tissue, sophisticated chordal replacement, and their combination (the restoration technique). Gen Thorac Cardiovasc Surg. 2015;63:61–70.CrossRefPubMed
45.
Borger MA, Kaeding AF, Seeburger J, Melnitchouk S, Hoebartner M, Winkfein M, et al. Minimally invasive mitral valve repair in Barlow’s disease: early and long-term results. J Thorac Cardiovasc Surg. 2014;148:1379–85.CrossRefPubMed
46.
Nasso G, Bonifazi R, Romano V, Bartolomucci F, Rosano G, Massari F, et al. Three-year results of repaired Barlow mitral valves via right minithoracotomy versus median sternotomy in a randomized trial. Cardiology. 2014;128:97–105.CrossRefPubMed
47.
Sharony R, Grossi EA, Saunders PC, Schwartz CF, Ursomanno P, Ribakove GH, et al. Minimally invasive reoperative isolated valve surgery: early and mid-term results. J Card Surg. 2006;21:240–4.CrossRefPubMed
48.
Botta L, Cannata A, Bruschi G, Fratto P, Taglieri C, Russo CF, et al. Minimally invasive approach for redo mitral valve surgery. J Thorac Dis. 2013;5:S686–93.PubMedPubMedCentral
49.
Romano MA, Haft JW, Pagani FD, Bolling SF. Beating heart surgery via right thoracotomy for reoperative mitral valve surgery: a safe and effective operative alternative. J Thorac Cardiovasc Surg. 2012;144:334–9.CrossRefPubMed
50.
Iribarne A, Easterwood R, Russo MJ, Chan EY, Smith CR, Argenziano M. Comparative effectiveness of minimally invasive versus traditional sternotomy mitral valve surgery in elderly patients. J Thorac Cardiovasc Surg. 2012;143:S86–90.CrossRefPubMed
51.
Minol JP, Akhyari P, Boeken U, Kamiya H, Weinreich T, Sixt S, et al. Single-centre experience of mitral valve surgery via right lateral mini-thoracotomy in octogenarians. Interact Cardiovasc Thorac Surg. 2016;22:287–90.CrossRefPubMed
52.
Holzhey DM, Shi W, Borger MA, Seeburger J, Garbade J, Pfannmuller B, et al. Minimally invasive versus sternotomy approach for mitral valve surgery in patients greater than 70 years old: a propensity-matched comparison. Ann Thorac Surg. 2011;91:401–5.CrossRefPubMed
53.
Moscarreli M, Fattouch K, Casula R, Speziale G, Lancellotti P, Athanasiou T. What is the role of minimally invasive mitral valve surgery in high-risk patients? a meta-analysis of observational studies. Ann Thorac Surg. 2016;101:981–9.CrossRef
54.
Misfeld M, Borger M, Byrne JG, Chitwood WR, Chon L, Galloway A, et al. Cross-sectional survey on minimally invasive mitral valve surgery. Ann Cardiothorac Surg. 2013;2:733–8.PubMedPubMedCentral
55.
Murzi M, Cerillo AG, Bevilacqua S, Gasbarri T, Kallushi E, Farneti P, et al. Enhancing departmental quality control in minimally invasive mitral valve surgery: a single-institution experience. Eur J Cardiothorac Surg. 2012;42:500–6.CrossRefPubMed
Metadata
Title
Minimally invasive mitral valve surgery through a right mini-thoracotomy
Author
Taichi Sakaguchi
Publication date
01-12-2016
Publisher
Springer Japan
Published in
General Thoracic and Cardiovascular Surgery / Issue 12/2016
Print ISSN: 1863-6705
Electronic ISSN: 1863-6713
DOI
https://doi.org/10.1007/s11748-016-0713-5

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