Mitral valve repair: Robotic and other minimally invasive approaches

Prog Cardiovasc Dis. 2017 Nov-Dec;60(3):394-404. doi: 10.1016/j.pcad.2017.11.002. Epub 2017 Nov 9.

Abstract

Robotic and minimally invasive mitral valve (MV) procedures have been performed with increasing frequency over time. These alternatives offer similar efficacy to that achieved via standard median sternotomy, particularly in large volume centers, along with low perioperative morbidity and mortality rates. Moreover, patient acceptance is oftentimes increased due to less postoperative pain and shorter recovery times, as well as superior cosmetic results. However, these techniques are technically complex and associated with a significant learning curve. The following review offers an overview of the most relevant aspects related to minimally invasive and robotic MV repair. Although these techniques are well established in referral centers, future innovations should concentrate on decreasing complexity and improving reproducibility of these procedures.

Keywords: Minimally invasive; Mitral valve; Repair; Robotic surgery.

Publication types

  • Review

MeSH terms

  • Clinical Decision-Making
  • Heart Valve Prosthesis Implantation / adverse effects
  • Heart Valve Prosthesis Implantation / methods*
  • Humans
  • Minimally Invasive Surgical Procedures
  • Mitral Valve / diagnostic imaging
  • Mitral Valve / physiopathology
  • Mitral Valve / surgery*
  • Mitral Valve Annuloplasty / adverse effects
  • Mitral Valve Annuloplasty / methods*
  • Mitral Valve Insufficiency / diagnostic imaging
  • Mitral Valve Insufficiency / physiopathology
  • Mitral Valve Insufficiency / surgery*
  • Patient Selection
  • Postoperative Complications / etiology
  • Risk Factors
  • Robotic Surgical Procedures* / adverse effects
  • Treatment Outcome