PMID- 19416620
OWN - NLM
STAT- MEDLINE
DCOM- 20090511
LR  - 20161125
IS  - 1603-6824 (Electronic)
IS  - 0041-5782 (Linking)
VI  - 171
IP  - 15
DP  - 2009 Apr 6
TI  - [Minimally invasive mitral valve surgery].
PG  - 1285-8
AB  - INTRODUCTION: We have experienced a growing demand from patients for minimally 
      invasive cardiac surgery. MATERIAL AND METHODS: From March 2006 through November 
      2007 we performed endoscopic mitral valve surgery in 30 patients (20 mitral valve 
      repairs, eight mitral valve replacements and two extirpations of mitral valve 
      fibroelstoma). Seven patients had concomitant surgery, including cryomaze to 
      eliminate atrial fibrillation and/or closure of an atrial septal defect (ASD). 
      Median preoperative functional class was New York Heart Association (NYHA) II and 
      all patients had severe mitral valve regurgitation. The mean age was 58.0 +/-3 
      years and 27% of the patients were females. RESULTS: The procedure was performed 
      successfully in all patients with no conversion to sternotomy, while 
      postoperative morbidity was very limited and no mortality was seen. Early 
      echocardiographic follow-up showed fully competent mitral valve repairs. 
      CONCLUSION: Endoscopic mitral valve surgery is an attractive alternative to 
      conventional sternotomy with an attractive cosmetic result. This can be obtained 
      without compromising quality or safety. This paper confirms that endoscopic 
      mitral valve surgery is feasible and it provides the least invasive operative 
      approach. The technique is currently our primary surgical approach for mitral 
      valve disease.
FAU - Tang, Mariann
AU  - Tang M
AD  - Arhus Universitetshospital, Skejby.
FAU - Klaaborg, Kaj-Erik
AU  - Klaaborg KE
FAU - Egeblad, Henrik
AU  - Egeblad H
FAU - Molgaard, Henning
AU  - Molgaard H
FAU - Poulsen, Steen Hvidtfeldt
AU  - Poulsen SH
FAU - Smerup, Morten
AU  - Smerup M
FAU - Wierup, Per
AU  - Wierup P
LA  - dan
PT  - Journal Article
TT  - Minimalinvasiv mitralklapkirurgi.
PL  - Denmark
TA  - Ugeskr Laeger
JT  - Ugeskrift for laeger
JID - 0141730
SB  - IM
MH  - Echocardiography, Transesophageal
MH  - Endoscopy
MH  - Female
MH  - Follow-Up Studies
MH  - Heart Valve Prosthesis Implantation/*methods
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Minimally Invasive Surgical Procedures/methods
MH  - Mitral Valve/diagnostic imaging/*surgery
MH  - Mitral Valve Insufficiency/diagnostic imaging/surgery
MH  - Postoperative Complications/diagnosis
MH  - Treatment Outcome
EDAT- 2009/05/07 09:00
MHDA- 2009/05/12 09:00
CRDT- 2009/05/07 09:00
PHST- 2009/05/07 09:00 [entrez]
PHST- 2009/05/07 09:00 [pubmed]
PHST- 2009/05/12 09:00 [medline]
AID - VP04080209 [pii]
PST - ppublish
SO  - Ugeskr Laeger. 2009 Apr 6;171(15):1285-8.