A Simplified Technique for Complex Mitral Valve Regurgitation by a Minimally Invasive Approach

摘要: Background Complex mitral valve disease can require surgical repair techniques that are challenging in a minimally invasive context and may expose patients to prolonged cardiopulmonary bypass cross-clamp times. This study reviewed simplified stepwise operative approach for the treatment of complex bileaflet disease, early outcomes, midterm follow-up. Methods A total 140 consecutive with underwent video-assisted right at center (Anthea Hospital, Bari, Italy) between 2008 2016. Patients were treated technique consisting relocating head P2 base P1 resection sliding. If was prolapsed, commissural plication performed. Neochordae applied level anterior segments cases true prolapse or flail. An isolated complete ring used billowing. retrospectively outcomes including follow-up echocardiographic data. Results There no 30-day mortality, successful trace regurgitation achieved all but 1 patient. One patient beginning series required conversion sternotomy, 2 immediate reoperation systolic movement. No deaths reported median 32 months, rate freedom from (≥2+) 94.7%. The type did not influence outcome. Conclusions its different forms be successfully addressed excellent results by using technique.