医学
美容
侵入性外科
心房颤动
开胸手术
微创心脏手术
外科
二尖瓣
二尖瓣修补术
二尖瓣置换术
叙述性评论
失血
心脏外科
心脏病学
重症监护医学
作者
Ryaan EL‐Andari,Abeline R. Watkins,Nicholas M. Fialka,Jimmy J H Kang,Sabin J. Bozso,Ali Fatehi Hassanabad,Vishnu Vasanthan,Corey Adams,R.C.M. Cook,Michael Moon,Jeevan Nagendran,William Kent
标识
DOI:10.1016/j.cjca.2024.03.017
摘要
Minimally invasive mitral valve surgery (MiMVS) has been increasing in prevalence. This review will focus on the approaches, the clinical outcomes, and patient selection for MiMVS. There are four minimally invasive approaches to the mitral valve: Right mini-thoracotomy, both video-assisted and fully endoscopic, robotic mitral surgery, and transapical, beating heart off-pump neochordal repair. Advantages over conventional surgery include less blood loss and transfusion, improved postoperative mobility, shorter length of stay, less postoperative atrial fibrillation, fewer surgical site infections, and improved cosmesis. This range of minimally invasive techniques will continue to evolve, providing options that are tailored for different patient populations.
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