ArticleJournal of cardiothoracic surgery2015
Early and long-term outcomes of minimally invasive mitral valve surgery through right minithoracotomy: a 10-year experience in 1604 patients.
Article in Journal of cardiothoracic surgery, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 1 of them a synthesis that pooled it.
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Who cites it
45 citing papers in PubMed, 1 synthesis or guideline pooled it, 106 citations in OpenAlex.
- The impact of comorbidities on surgical outcome and mortality in minimally invasive mitral valve surgery: a systematic review.Frontiers in cardiovascular medicine · 2025Pooled it
- Conventional Versus Minimally Invasive Mitral Valve Replacement: A Retrospective Comparison of Sternotomy, Mini-Thoracotomy, and Periareolar Approaches.Journal of clinical medicine · 2026Article
- Technical feasibility and mid-term outcomes of right mini-thoracotomy for double or triple heart valve surgery: a multicenter retrospective analysis.Journal of thoracic disease · 2026Article
- Feasibility, Acceptability and Early Outcomes of Concomitant Aortic and Mitral Valve Surgery via a Single-Incision Right Anterior Minithoracotomy: A Retrospective Cohort Study.Journal of clinical medicine · 2026Article
- Transition from Direct-View to Totally Endoscopic Mitral Valve Surgery in an Experienced Minimally Invasive Center: A Propensity-Matched Analysis.Life (Basel, Switzerland) · 2026Article
- Minimally invasive mitral valve repair revisited: Respect or Resect? Amidst competing risks.Journal of cardiothoracic surgery · 2026Article
- Minimally Invasive Surgery for Mitral Valve Endocarditis: A Systematic Review and Meta-Analysis of Reconstructed Time-to-Event Data.Journal of personalized medicine · 2026Review
- Robotic and totally endoscopic cardiac surgery: redefining value, precision, and surgical strategy.Journal of visualized surgery · 2026Article
- Minimally invasive mitral valve surgery: standard vs. endoscopic approach.Frontiers in cardiovascular medicine · 2026Article
- Double-Port Totally Endoscopic Mitral Valve Replacement Through a Prosthesis-Sized Working Incision with Posterior Subvalvular Preservation.Journal of the Saudi Heart Association · 2026Article
- Associated mortality and time spent in hospital following mitral valve intervention for mitral regurgitation according to frailty status: a nationwide Danish study.European heart journal open · 2025Article
- Do Complex Pathologies Remain a Challenge in Minimally Invasive Mitral Valve Surgery?Reviews in cardiovascular medicine · 2025Review
- Minimally Invasive Mitral Valve Replacement in the Gray Zone: Bioprosthetic vs. Mechanical Valves in Patients Aged 50-69 Years.Journal of clinical medicine · 2025Article
- Minimally Invasive Mitral Valve Surgery: Long-Term (20-Year) Follow-Up After Right Anterolateral Minithoracotomy.CJC open · 2025Article
- Article
- Moving from minimally invasive to totally endoscopic mitral valve surgery: a retrospective review of outcomes.Interdisciplinary cardiovascular and thoracic surgery · 2025Article
- Totally endoscopic mitral valve repair with novel technique of left atrial exposure: five years experience from a single center.Journal of cardiothoracic surgery · 2025Article
- Minimally Invasive Mitral Valve Surgery in Elderly Patients: Results from a Multicenter Study.Journal of clinical medicine · 2024Article
- Pushing boundaries in cardiac surgery: minimally invasive mitral valve repair combined with tricuspid valve repair and/or other concomitant procedures.Frontiers in cardiovascular medicine · 2024Article
- Minimally Invasive Trans-Axillary versus Full Sternotomy Mitral Valve Repair: A Propensity Score-Matched Analysis on Mid-Term Outcomes.Medicina (Kaunas, Lithuania) · 2023Article
Corrections and comments
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Authors and funding
10 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTo report early and long-term outcomes of patients undergoing minimally invasive mitral valve surgery (MIMVS) through right mini-thoracotomy (RT) over a 10-year period.
methodsFrom September 2003 to December 2013, a total of 1604 consecutive patients underwent MIMVS through RT.
resultsThe mean age was 63 ± 13 years, 770 (48 %) patients were female and 218 (13.6 %) had previous cardiac operations. The most predominant pathology was degenerative disease (70 %), followed by functional mitral valve regurgitation (12 %), rheumatic disease (9.4 %), endocarditis (5 %) and prosthetic dysfunction (3.2 %). Mitral valve repair was performed in 1137 (71 %) patients and 476 (29 %) had mitral valve replacement. Direct aortic cannulation was achieved in 1325 (83 %) patients. Among patients with degenerative disease candidate for repair (n = 958), rate of mitral valve repair was 95 %. Repair techniques included annuloplasty (95 %), leafleat resection (63 %), neochordae implantation (16 %) and sliding plasty (11 %). Concomitant procedures included tricuspid valve repair (14.6 %), atrial fibrillation ablation (9.5 %) and atrial septal defect closure (3.2 %). Overall in-hospital mortality was 1.1 %. Thirty-four patients (2.1 %) had conversion to sternotomy. Incidence of stroke was 2 %. Overall survival at 10 years was 88 ± 2 %. Freedom from reoperation at 10 years was 94 ± 2 % for repair and 80 ± 6 % for replacement. Freedom from recurrent mitral regurgitation >3+ at 10 years was 90 ± 3 %.
conclusionsMinimally invasive mitral valve surgery is a safe and reproducible approach associated with low mortality and morbidity, high rate of mitral valve repair and excellent late results.
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