gms | German Medical Science

130. Kongress der Deutschen Gesellschaft für Chirurgie

Deutsche Gesellschaft für Chirurgie

30.04. - 03.05.2013, München

Minimally invasive double valve surgery: 5 year experience

Meeting Abstract

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  • Julia Dumfarth - Universitätsklinik Innsbruck, Universitätsklinik für Herzchirurgie, Innsbruck

Deutsche Gesellschaft für Chirurgie. 130. Kongress der Deutschen Gesellschaft für Chirurgie. München, 30.04.-03.05.2013. Düsseldorf: German Medical Science GMS Publishing House; 2013. Doc13dgch615

doi: 10.3205/13dgch615, urn:nbn:de:0183-13dgch6150

Veröffentlicht: 26. April 2013

© 2013 Dumfarth.
Dieser Artikel ist ein Open Access-Artikel und steht unter den Creative Commons Lizenzbedingungen ( Er darf vervielfältigt, verbreitet und öffentlich zugänglich gemacht werden, vorausgesetzt dass Autor und Quelle genannt werden.



Introduction: Minimally invasive techniques for valve surgery have emerged as a safe and efficient approach in many institutions. Based on data and growing experience of minimally invasive mitral valve procedures, the technique was extended to double valve surgery. Aim of this study was to evaluate immediate and mid-term outcome in patients receiving minimally invasive double valve surgery with or without additional atrial ablation.

Material and methods: Consecutive patients undergoing minimally invasive double valve surgery were retrospectively analyzed. Patient data, intraoperative course, postoperative outcome as well a follow-up data were collected.

Results: Between March 2011 and March 2012 a total number of 418 patients had minimally invasive mitral valve surgery. Of these 95 patients (22.7%) underwent minimally invasive double valve surgery through a mini-thoracotomy. Mean patients age was 67.4 years (range 38-86), 52% were female. In 80 patients (84.2%) mitral valve repair could be performed, all patients received tricuspid valve repair. Conversion rate to conventional sternotomy was 3.2%. In hospital mortality was 2.1%. During a mean follow- up of 25.5 months (range 1 – 72 months) reoperation rate was 5.4% (n=5). Mean survival rates at 1, 3 and 5 years were 96.1% ± 2.2% and 93.1% ±3% and 88.4% ± 5.4%.

Conclusion: In conclusion, minimally invasive tricuspid valve surgery can safely be added to a mitral valve procedure. The combined procedure is associated with a low early morbidity and mortality. Due to the excellent results tricuspid repair should be performed more liberately.