TITLE:
In-Hospital Outcomes in Minimally Invasive Mitral Valve Surgery: First Results in a Brazilian Single Center
AUTHORS:
Daniel de Magalhães Freitas, João Alberto Pansani, Max Weyler Nery, Stanlley de Oliveira Loyola, Maurício Lopes Prudente, Giulliano Gardenghi, Artur Henrique de Souza
KEYWORDS:
Minimally Invasive Surgical Procedures, Mitral Valve, Outcome Assessment, Health Care
JOURNAL NAME:
Open Journal of Thoracic Surgery,
Vol.14 No.1,
February
27,
2024
ABSTRACT: Introduction: Treatments for cardiovascular
diseases have increasingly evolved with the tendency to offer minimally invasive or transcatheter
procedures instead of conventional sternotomy surgery. In this context, we
highlight minimally invasive mitral valve surgery (MIMVS), which has been shown
to be an increasingly solid option with some superior results when compared to
the conventional technique: better pain
control, shorter hospital stays, shorter recovery time, shorter readmission
rate in the first postoperative year, better aesthetic results, and lower overall cost. Aim: This study aims to
evaluate the stages of MIMVS, by primary mitral valve consultation, in our
service and compare these results
with data from the literature. Methods: All electronic medical records of patients who underwent MIMVS for
primary mitral valve injury in the Encore Hospital from January 2020 to
February 2023 were analyzed. Tabulation and statistical analysis were performed
using the Microsoft Excel® program. Quantitative variables were presented as
means, standard deviations. Results: 46 patients were enrolled in our
study (Age: 59.1 ± 12.4 years old; 60.8% Female, BMI: 26 ± 4.4 Kg/m2, Low risk STS score: 82.6%). The observed 30-day mortality was 2.1%,
plastic rate of 23.9%, blood transfusion rate of 41.3%, length of stay in
an intensive care bed (ICB) of 3.3 ±
3.3 days and hospital stay of 6.4 ± 5.1 days. Conclusions: We
noticed that the MIMVS results carried out in our service agree with data from
national and international literature with
approximately 1.3 days more hospitalization in ICB.