ArticleJournal of cardiothoracic surgery2019
Learning curve in minimally invasive mitral valve surgery: a single-center experience.
Article in Journal of cardiothoracic surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.
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Who cites it
27 citing papers in PubMed.
- Minimally invasive mitral valve surgery in a middle-income country: feasibility and learning curve in a low-volume center.Journal of cardiothoracic surgery · 2026Article
- Totally endoscopic port access for rheumatic mitral valve replacement: Clinical outcomes and a single surgeon's learning curve experience.JTCVS techniques · 2026Article
- Article
- Advancing Minimally Invasive Mitral Valve Surgery: Early Outcomes of a Total Endoscopic 2D and 3D Approach.Journal of cardiovascular development and disease · 2025Article
- Learning Curve for Aortic Root Replacement.Annals of thoracic surgery short reports · 2025Article
- Minimally Invasive Versus Full Sternotomy Approaches in Mitral Valve Surgery for Infective Endocarditis: A Retrospective Comparative Analysis.Diseases (Basel, Switzerland) · 2025Article
- Prognostic analysis of children with tetralogy of Fallot through a small incision in the right axilla.Frontiers in cardiovascular medicine · 2025Article
- Contemporary Review of Minimally Invasive Mitral Valve Surgery: Current Considerations and Innovations.Journal of cardiovascular development and disease · 2024Review
- Minimally Invasive Mitral Valve Surgery in Elderly Patients: Results from a Multicenter Study.Journal of clinical medicine · 2024Article
- Concomitant tricuspid valve regurgitation repair in patients with minimally invasive mitral valve surgery: a single-centre experience in Vietnam.Annals of medicine and surgery (2012) · 2024Article
- Navigating the challenges of minimally invasive mitral valve surgery: a risk analysis and learning curve evaluation.Journal of cardiothoracic surgery · 2024Article
- Editorial: Flattening the Curve.Structural heart : the journal of the Heart Team · 2024Article
- Aortic Valve Replacement: Totally Endoscopic versus Mini-Sternotomy.Journal of clinical medicine · 2023Article
- Beyond Conventional Operations: Embracing the Era of Contemporary Minimally Invasive Cardiac Surgery.Journal of clinical medicine · 2023Review
- [Learning curve and clinical efficacy of aortic surgery through upper hemisternotomy].Nan fang yi ke da xue xue bao = Journal of Southern Medical University · 2023Article
- Minimally Invasive Strategy to Repair Mitral Valve after Repeated Coronary Revascularization: A Case Report and Literature Review.Journal of clinical medicine · 2023Article
- Minimally Invasive Procedure versus Conventional Redo Sternotomy for Mitral Valve Surgery in Patients with Previous Cardiac Surgery: A Systematic Review and Meta-Analysis.Journal of chest surgery · 2023Review
- Adoption of minimally invasive mitral valve surgery: single-centre implementation experience in Vietnam.Annals of medicine and surgery (2012) · 2023Article
- Attaining competency and proficiency in minimally invasive mitral valve repair: a learning curve assessment using cumulative sum analysis.Journal of cardiothoracic surgery · 2023Article
- Does concomitant tricuspid valve surgery increase the risks of minimally invasive mitral valve surgery? A multicentre comparison based on data from The Netherlands Heart Registration.Journal of cardiac surgery · 2022Article
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMinimally invasive mitral valve surgery is becoming a gold standard and provides many advantages for patients. A learning curve is required for a surgeon to become proficient, and the exact number to overcome this curve is controversial. Our study aimed to define this number for mitral valve surgery in general, for replacement and repair separately.
methodsA total of 204 mitral valve surgeries were performed via the right minithoracotomy approach from October 2014 to January 2019 by a single surgeon who isexperienced in conventional mitral valve surgery. Learning curves were analysed based on the trend of important variables (cross-clamp time, CPB time, ventilation time, ICU time, composite technical failure) over time, and the number of operations required was calculated by CUSUM method.
resultsMIMVS provided an excellent outcome in the carefully selected patients, with low mortality of 0.5% and low rate of complications. The decreasing trend of the important variables were observed over the years and as the cumulative number of procedures increased. The number of operations required to overcome the learning curve was 75 to 100 cases. When considered separately, the quantity for mitral valve replacement was 60 cases, whereas valve repair necessitated at least 90 cases to have an acceptable technical complication rate.
conclusionMIMVS is an excellent choice for mitral valve surgery. However, this approach required a long learning curve for a surgeon who is experienced in conventional mitral valve surgery.
trial registrationThe research was registered and approved by the ethical board of the University of Medicine and Pharmacy at Ho Chi Minh City, number 141/DHYD-HDDD, on April 11th 2018.
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