New innovative instruments facilitate both direct-vision and endoscopic-assisted mini-mitral valve surgery

Mini-reoperative mitral valve surgery.

BACKGROUND Reoperative surgery involving the atrioventricular valves places the patient at risk for cardiac or bypass graft injury upon reoperative sternotomy. Standard right thoracotomy can avoid these problems but is associated with a large incision and possibly more pulmonary complications. METHODS AND RESULTS An alternative, minimally invasive approach for reoperative atrioventricular val...

Endoscopic mitral and tricuspid valve surgery after previous cardiac surgery.

BACKGROUND The purpose of this study was to evaluate the feasibility and effectiveness of a right video-assisted approach for atrioventricular valve disease after previous cardiac surgery. METHODS AND RESULTS Between December 1st 1997 and May 1st 2006, 80 adults (mean age 65+/-12 years; 56% female) underwent reoperative surgery using a video-assisted approach without rib spreading. Previous c...

A simplified minimally invasive approach to mitral valve surgery - optimal access under direct vision

With increasing enthusiasm in minimally invasive surgery, several approaches and access are being performed with great precision. In this report, we illustrate and describe a minimal invasive approach to mitral valve surgery with optimal access under direct vision, the indications and patient selection, the surgical techniques, its advantages over the other approaches, and its simplicity and re...

Video-atlas on robotically assisted mitral valve surgery.

Value of robotically assisted surgery for mitral valve disease.

IMPORTANCE The value of robotically assisted surgery for mitral valve disease is questioned because the high cost of care associated with robotic technology may outweigh its clinical benefits. OBJECTIVE To investigate conditions under which benefits of robotically assisted surgery mitigate high technology costs. DESIGN, SETTING, AND PARTICIPANTS Clinical cohort study at a large multispecial...