An Individualized, Less-Invasive Surgical Approach Algorithm Improves Outcome in Elderly Patients Undergoing Mitral Valve Surgery.
elderly patients
less invasive
mitral valve repair
mitral valve surgery
surgical trauma reduction
Journal
Journal of cardiovascular development and disease
ISSN: 2308-3425
Titre abrégé: J Cardiovasc Dev Dis
Pays: Switzerland
ID NLM: 101651414
Informations de publication
Date de publication:
11 Jan 2023
11 Jan 2023
Historique:
received:
25
11
2022
revised:
30
12
2022
accepted:
05
01
2023
entrez:
20
1
2023
pubmed:
21
1
2023
medline:
21
1
2023
Statut:
epublish
Résumé
For mitral valve surgery (MVS) in elderly, frail patients with increasing life expectancy, finding the least harmful means of access is a challenge. In the complexity of MVS approach evolution, using three different approaches (mini-thoracotomy (MT), partial upper-sternotomy (PS), full-sternotomy (FS), we developed a personalized, minimized-invasiveness algorithm for MVS. In this retrospective analysis, 517 elderly patients (≥70 years) were identified who had undergone MVS ± TV repair. MVS was performed via MT ( The EuroSCORE2-adjusted Cox regression analysis showed significantly increased reoperation-free survival in the MT cohort compared to FS (HR 0.640; 95% CI 0.442-0.926; Less-invasive approaches in elderly patients improve perioperative success and reoperation-free survival in those undergoing MVS procedures.
Sections du résumé
BACKGROUND
BACKGROUND
For mitral valve surgery (MVS) in elderly, frail patients with increasing life expectancy, finding the least harmful means of access is a challenge. In the complexity of MVS approach evolution, using three different approaches (mini-thoracotomy (MT), partial upper-sternotomy (PS), full-sternotomy (FS), we developed a personalized, minimized-invasiveness algorithm for MVS.
METHODS
METHODS
In this retrospective analysis, 517 elderly patients (≥70 years) were identified who had undergone MVS ± TV repair. MVS was performed via MT (
RESULTS
RESULTS
The EuroSCORE2-adjusted Cox regression analysis showed significantly increased reoperation-free survival in the MT cohort compared to FS (HR 0.640; 95% CI 0.442-0.926;
CONCLUSION
CONCLUSIONS
Less-invasive approaches in elderly patients improve perioperative success and reoperation-free survival in those undergoing MVS procedures.
Identifiants
pubmed: 36661923
pii: jcdd10010028
doi: 10.3390/jcdd10010028
pmc: PMC9862192
pii:
doi:
Types de publication
Journal Article
Langues
eng
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