ArticleOpen heart2020
Minimally invasive mitral valve surgery: a systematic safety analysis.
Article in Open heart, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
22 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The impact of comorbidities on surgical outcome and mortality in minimally invasive mitral valve surgery: a systematic review.Frontiers in cardiovascular medicine · 2025Pooled it
- 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
- The impact of minimally invasive mitral valve surgery on early postoperative organ dysfunction.JTCVS open · 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
- Artificial-intelligence electrocardiography and computed tomography mapping to guide surgical ablation of ventricular arrhythmias.JTCVS open · 2026Article
- Long-Term Outcomes of Concomitant Left-Sided Cryoablation During Totally Endoscopic Mitral Valve Surgery.Interdisciplinary cardiovascular and thoracic surgery · 2025Article
- Surgical decision-making for concomitant tricuspid valve repair in minimally invasive mitral valve surgery.European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery · 2025Observational
- Article
- Moving from minimally invasive to totally endoscopic mitral valve surgery: a retrospective review of outcomes.Interdisciplinary cardiovascular and thoracic surgery · 2025Article
- 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 Strategy to Repair Mitral Valve after Repeated Coronary Revascularization: A Case Report and Literature Review.Journal of clinical medicine · 2023Article
- Mid-term results of endoscopic mitral valve repair and insights in surgical techniques for isolated posterior prolapse.Journal of cardiothoracic surgery · 2023Article
- A qualitative improvement program for minimally invasive mitral surgery: technical advancements ameliorate outcome and operative times.Interdisciplinary cardiovascular and thoracic surgery · 2023Article
- The evolution of technical prerequisites and local boundary conditions for optimization of mitral valve interventions-Emphasis on skills development and institutional risk performance.Frontiers in cardiovascular medicine · 2023Review
- Early outcome of endoscopic mitral valve surgery in elderly patients: a high-volume single center experience.Frontiers in cardiovascular medicine · 2023Article
- Robotic and endoscopic mitral valve repair for degenerative disease.Annals of cardiothoracic surgery · 2022Article
- Decision Making during the Learning Curve of Minimally Invasive Mitral Valve Surgery: A Focused Review for the Starting Minimally Invasive Surgeon.Journal of clinical medicine · 2022Review
- At the Crossroads of Minimally Invasive Mitral Valve Surgery-Benching Single Hospital Experience to a National Registry: A Plea for Risk Management Technology.Journal of cardiovascular development and disease · 2022Article
- State-of-the-Art Review: Technical and Imaging Considerations in Novel Transapical and Port-Access Mitral Valve Chordal Repair for Degenerative Mitral Regurgitation.Frontiers in cardiovascular medicine · 2022Review
- The Impact of Biomedical Engineering on the Development of Minimally Invasive Cardio-Thoracic Surgery.Journal of clinical medicine · 2021Review
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveMinimally invasive surgery is increasingly adopted as an alternative to conventional sternotomy for mitral valve pathology in many centres worldwide. A systematic safety analysis based on a comprehensive list of pre-specified 30-day complications defined by the Mitral Valve Academic Consortium (MVARC) criteria is lacking. The aim of the current study was to systematically analyse the safety of minimally invasive mitral valve surgery in our centre based on the MVARC definitions.
methodsAll consecutive patients undergoing minimally invasive mitral valve surgery through right mini-thoracotomy in our institution within 10 years were studied retrospectively. The primary outcome was a composite of 30-day major complications based on MVARC definitions.
results745 patients underwent minimally invasive mitral valve surgery (507 repair, 238 replacement), with a mean age of 62.9±12.3 years. The repair was successful in 95.8%. Overall 30-day mortality was 1.2% and stroke rate 0.3%. Freedom from any 30-day major complications was 87.2%, and independent predictors were left ventricular ejection fraction <50% (OR 1.78; 95% CI 1.02 to 3.02) and estimated glomerular filtration rate <60 mL/min/1.73 m
conclusionsMinimally invasive mitral valve surgery is a safe technique and is associated with low 30-day mortality and stroke rate.
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Registered trials
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