Minimally Invasive Thoracoscopic Mitral Valve Replacement in Rheumatic Disease With Continuous Suture Technique

Innovations (Phila). 2019 Nov/Dec;14(6):558-563. doi: 10.1177/1556984519871537. Epub 2019 Sep 2.

Abstract

Minimally invasive mitral valve surgery has become routine in many institutions. Disadvantages of this approach include prolonged aortic cross-clamp and cardiopulmonary bypass times. Mitral valve replacement with a continuous suture technique may reduce operative times. We present a case of a 51-year-old man suffering from severe rheumatic mitral disease to highlight our continuous suture technique for minimally invasive mitral valve replacement. We also report preliminary results from our series of 15 patients suffering various rheumatic mitral pathology treated with this technique.

Keywords: continuous suture technique; mitral valve replacement; operative time; rheumatic heart disease.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Aorta / surgery
  • Cardiac Surgical Procedures / methods
  • Echocardiography
  • Female
  • Humans
  • Male
  • Middle Aged
  • Minimally Invasive Surgical Procedures / adverse effects*
  • Minimally Invasive Surgical Procedures / methods
  • Mitral Valve / diagnostic imaging
  • Mitral Valve / pathology
  • Mitral Valve / surgery*
  • Mitral Valve Stenosis / pathology
  • Mitral Valve Stenosis / surgery*
  • Operative Time
  • Rheumatic Heart Disease / complications
  • Rheumatic Heart Disease / surgery*
  • Severity of Illness Index
  • Surgical Instruments / statistics & numerical data
  • Suture Techniques / trends
  • Treatment Outcome