Minimally Invasive Mitral Valve Surgery versus Median Sternotomy: The Assiut Heart Hospital Experience | ||||
| The Egyptian Journal of Hospital Medicine | ||||
| Article 240, Volume 91, Issue 1, April 2023, Page 5310-5313 PDF (349.04 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejhm.2023.305073 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
Ahmed Farouk; Nashwa hafez  ; Gamal Ahmed Yassein Nassar; Ahmed Mohamed Mandour; Mohamed Osman; Mohamed Farouk Abdelhafez
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| Anesthesia and ICU, Faculty of Medicine, Assiut University, Assiut, Egypt | ||||
| Abstract | ||||
| Objective: The aim of the current study was to compare minimally invasive mitral valve surgery (MIMVS) with conventional mitral valve surgery via median sternotomy. Patients and methods: A total of 73 patients were recruited for a mitral valve surgery either minimally invasive (27 patients) or conventional open heart (46 patients) mitral valve surgery. Results: Patients in the MIMVS group reported less bleeding with fewer rates of transfusion and shorter hospital stay. Moreover, no differences were reported regarding major complications including stroke and myocardial infarction. Also, there was no difference in total hospital costs. Meanwhile, the MIMVS group presented a significant rise in the time of cardiopulmonary bypass, cross clamp and procedure. Six weeks follow up showed no significant differences in mortality. The causes of death in the MIMVS patient and the 2 patients in sternotomy group were non-cardiac, but due to infection by covid-19 which ended by respiratory failure. Conclusion: MIMVS could be more beneficial for mitral valve patients with consideration of inclusion criteria. | ||||
| Keywords | ||||
| Minimally invasive mitral valve surgery; Conventional mitral valve surgery; Invasive median sternotomy; Mitral valve; Clinical trial; Assiut University | ||||
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