[Mitral valve surgery via minimally invasive and conventional access].

Autor:	Komarov RN; Sechenov First Moscow State Medical University, Moscow, Russia., Matsuganov DA; Chelyabinsk Regional Clinical Hospital, Chelyabinsk, Russia.; South Ural State Medical University, Chelyabinsk, Russia., Nuzhdin MD; Chelyabinsk Regional Clinical Hospital, Chelyabinsk, Russia., Bystrov DO; Volosevich Arkhangelsk City First Clinical Hospital, Arkhangelsk, Russia., Danachev AO; Sechenov First Moscow State Medical University, Moscow, Russia.
Jazyk:	ruština
Zdroj:	Khirurgiia [Khirurgiia (Mosk)] 2024 (4), pp. 69-74.
DOI:	10.17116/hirurgia202404169
Abstrakt:	Objective: To compare the immediate results of mini-thoracotomy and sternotomy in patients with mitral valve disease. Material and Methods: The study included 52 patients who underwent mitral valve surgery (25 cases - mini-thoracotomy, 27 cases - sternotomy). Results: Aortic cross-clamping time was significantly longer in sternotomy compared to mini-thoracotomy group - 110 vs 94 min ( p =0.03). Ventilation time was also significantly longer in the sternotomy group (12 vs. 8 hours, p =0.01). Postoperative morbidity was similar (postoperative wound infection, neurological complications, coronavirus disease, overall in-hospital mortality). Conclusion: In addition to cosmetic effect, minimally invasive approach in mitral valve surgery has some other advantages including less duration of aortic cross-clamping and mechanical ventilation, availability of reconstructive interventions due to better exposition of the mitral valve and subvalvular structures.
Databáze:	MEDLINE
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