Minimally Invasive Mitral Valve Replacement Versus Conventional Approach: Comparison of Early Postoperative Outcomes.
Study Details
Study Description
Brief Summary
The term minimally invasive mitral valve surgery has been reported (MIMVS) by American Heart Association and referred to a collection of new techniques. All of these new techniques aiming to reduce surgical trauma by minimizing surgical incision, modified perfusion methods and use of new instruments . The right anterior mini-thoracotomy is the most common approach, next to it the lower mini-sternotomy approach, then the parasternal incision or the left posterior thoracotomy approach .
Technically MIMVS is more complex, requires a special learning curve and associated with higher Incidence of neurological events, aortic dissection, groin complications and infection despite all these benefits . MIVS also has controversies among cardiac surgeons, because it makes the exposure worse and requires a more complex surgery, which may lead to a less satisfying effect
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
N/A |
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Active Comparator: Group A patients who will undergo mitral valve replacement through full sternotomy approach |
Procedure: mitral valve replacement through full sternotomy approach.
compare between Minimally Invasive Mitral Valve Replacement and Conventional Approach
|
| Active Comparator: Group B patients who will undergo mitral valve replacement through right mini thoracotomy approach |
Procedure: mitral valve replacement through right mini thoracotomy approach.
compare between Minimally Invasive Mitral Valve Replacement and Conventional Approach
|
Outcome Measures
Primary Outcome Measures
- post-operative pain [immediately post operative]
pain score
- total hospital stay in days [maximum 7 days]
days in hospital included ICU stay and ward stay
Eligibility Criteria
Criteria
Inclusion Criteria:
- Patients with isolated rheumatic mitral valve disease in need for mitral valve replacement.
Exclusion Criteria:
-
Redo mitral valve replacement.
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Emergency mitral valve replacement (non-rheumatic cases).
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Patients who have combined other valve diseases e.g. (severe Aortic Regurgitation).
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Patients need Tricuspid valve repair or replacement.
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Severely calcified mitral valve disease (mitral annular calcification).
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Sohag University Hospital | Sohag | Egypt |
Sponsors and Collaborators
- Sohag University
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
- Falk V, Cheng DC, Martin J, Diegeler A, Folliguet TA, Nifong LW, Perier P, Raanani E, Smith JM, Seeburger J. Minimally invasive versus open mitral valve surgery: a consensus statement of the international society of minimally invasive coronary surgery (ISMICS) 2010. Innovations (Phila). 2011 Mar;6(2):66-76. doi: 10.1097/IMI.0b013e318216be5c.
- Joshi P, Doshi C, Vinchurkar M, Thosani R, Sagar P, Mahajan V. Minimally invasive combined aortic and mitral valve replacement. Heart Lung Circ. 2011 Apr;20(4):231-3. doi: 10.1016/j.hlc.2010.10.072. Epub 2010 Dec 10.
- Schmitto JD, Mokashi SA, Cohn LH. Minimally-invasive valve surgery. J Am Coll Cardiol. 2010 Aug 3;56(6):455-62. doi: 10.1016/j.jacc.2010.03.053. Review.
- Vollroth M, Seeburger J, Garbade J, Borger MA, Misfeld M, Mohr FW. Conversion rate and contraindications for minimally invasive mitral valve surgery. Ann Cardiothorac Surg. 2013 Nov;2(6):853-4. doi: 10.3978/j.issn.2225-319X.2013.10.15.
- Soh-Med-22-08-12