Anesthetic considerations during minimally invasive mitral valve surgery

Seminars in Cardiothoracic and Vascular Anesthesia
William Vernick, Joseph Y Woo

Abstract

Advances in instruments and visualization tools as well as circulatory systems for cardiopulmonary bypass during the late 1990s have stimulated widespread adoption of minimally invasive mitral valve surgery (MIMVS). Today, MIMVS is the standard approach for many surgeons and institutions. There are multiple benefits of MIMVS. Patient satisfaction and improved cosmesis are important. Additionally, studies have consistently shown faster recovery times and less associated pain with MIMVS. Statistically significant improvement in bleeding, transfusion, incidence of atrial fibrillation, and time to resumption of normal activities with MIMVS has also been shown when comparing MIMVS with conventional mitral surgery. Most important, these benefits have been achieved without sacrificing perioperative safety or durability of surgical repair. Although a steep learning curve still exists given the high level of case complexity, continued development fueled by increasing patient demand may allow for even further expansion in the use of minimal invasive techniques.

Associated Clinical Trials

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Citations

Jan 3, 2014·Minimally Invasive Surgery·Bhuyan RitwickRobert G Stuklis
Nov 26, 2014·Interactive Cardiovascular and Thoracic Surgery·Herbert De PraeterePaul Herijgers
Jun 25, 2014·Postgraduate Medical Journal·Gang Wang, Changqing Gao
Sep 11, 2019·Journal of Internal Medicine·M KastengrenM Dalén
Jan 23, 2015·A & a Case Reports·Bhawana Dave, Nicole Marie Giglio
May 3, 2018·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Hunaid A VohraJoerg Kempfert
Sep 17, 2019·Journal of Cardiac Surgery·Makoto Hashimoto, Husam H Balkhy
Jun 3, 2021·Journal of Clinical Medicine·Thomas PuehlerAssad Haneya

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Methods Mentioned

BETA
coronary artery bypass
coronary bypass
surgical retraction
dissection
sedation

Software Mentioned

MIMVS
Port
IOTEE

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