Minimally invasive versus median sternotomy for mechanical mitral valve replacement: a single-center comparative study of treatment outcomes and quality of life
Mechanical mitral valve replacement (MMVR) is normally indicated for severe, irreparable mitral valve disease and is often performed through median sternotomy (MS). Compared with the traditional MS approach, the minimally invasive (MI) technique offers benefits like reduced trauma, faster recovery,...
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| Format: | Article |
| Language: | English |
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PAGEPress Publications
2025-06-01
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| Series: | Italian Journal of Medicine |
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| Online Access: | https://www.italjmed.org/ijm/article/view/1963 |
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| author | The Binh Nguyen Tran-Thuy Nguyen Long Hoang Luong Duc Hoang Nguyen Cong Huu Nguyen Ngoc Thanh Le Bao Giang Kim |
| author_facet | The Binh Nguyen Tran-Thuy Nguyen Long Hoang Luong Duc Hoang Nguyen Cong Huu Nguyen Ngoc Thanh Le Bao Giang Kim |
| author_sort | The Binh Nguyen |
| collection | DOAJ |
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Mechanical mitral valve replacement (MMVR) is normally indicated for severe, irreparable mitral valve disease and is often performed through median sternotomy (MS). Compared with the traditional MS approach, the minimally invasive (MI) technique offers benefits like reduced trauma, faster recovery, and improved cosmetic outcomes. Because most studies focused on the MI approach in mitral valve repair, data on the outcome of MI MMVR are very limited. Thus, we conducted this study to compare treatment outcomes and quality of life in patients undergoing MMVR using MI vs. MS techniques. A total of 86 patients (43 MI, 43 MS) were recruited from 2019 to 2024, with follow-up at 36 months post-surgery. Cosmesis was assessed using the Scar Cosmesis Assessment and Rating Scale; quality of life was evaluated via the Short Form-36 questionnaire. The MI group had longer cardiopulmonary bypass and cross-clamp times but shorter ventilation times, intensive care unit stays, hospital stays, lower costs, and better cosmetic outcomes compared to the MS group (p<0.05). In conclusion, MI for MMVR is a safe technique that reduces short-term recovery times and costs, resulting in improved cosmetic and postoperative quality of life.
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| format | Article |
| id | doaj-art-3772e80506db4d009dbd3a2294f8305a |
| institution | OA Journals |
| issn | 1877-9344 1877-9352 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | PAGEPress Publications |
| record_format | Article |
| series | Italian Journal of Medicine |
| spelling | doaj-art-3772e80506db4d009dbd3a2294f8305a2025-08-20T02:05:59ZengPAGEPress PublicationsItalian Journal of Medicine1877-93441877-93522025-06-0110.4081/itjm.2025.1963Minimally invasive versus median sternotomy for mechanical mitral valve replacement: a single-center comparative study of treatment outcomes and quality of lifeThe Binh Nguyen0Tran-Thuy Nguyen1Long Hoang Luong2Duc Hoang Nguyen3Cong Huu Nguyen4Ngoc Thanh Le5Bao Giang Kim6Hanoi Medical University; Cardiovascular Center, E Hospital, HanoiCardiovascular Center, E Hospital, Hanoi;VNU University of Medicine and Pharmacy, HanoiDepartment of iPS Cell and Regenerative Medicine, Kansai Medical University, OsakaHanoi Medical University, Vietnam; Cardiovascular Laboratories, Methodist Hospital, Merrillville, IndianaCardiovascular Center, E Hospital, HanoiCardiovascular Center, E Hospital, Hanoi; VNU University of Medicine and Pharmacy, HanoiHanoi Medical University Mechanical mitral valve replacement (MMVR) is normally indicated for severe, irreparable mitral valve disease and is often performed through median sternotomy (MS). Compared with the traditional MS approach, the minimally invasive (MI) technique offers benefits like reduced trauma, faster recovery, and improved cosmetic outcomes. Because most studies focused on the MI approach in mitral valve repair, data on the outcome of MI MMVR are very limited. Thus, we conducted this study to compare treatment outcomes and quality of life in patients undergoing MMVR using MI vs. MS techniques. A total of 86 patients (43 MI, 43 MS) were recruited from 2019 to 2024, with follow-up at 36 months post-surgery. Cosmesis was assessed using the Scar Cosmesis Assessment and Rating Scale; quality of life was evaluated via the Short Form-36 questionnaire. The MI group had longer cardiopulmonary bypass and cross-clamp times but shorter ventilation times, intensive care unit stays, hospital stays, lower costs, and better cosmetic outcomes compared to the MS group (p<0.05). In conclusion, MI for MMVR is a safe technique that reduces short-term recovery times and costs, resulting in improved cosmetic and postoperative quality of life. https://www.italjmed.org/ijm/article/view/1963Mechanical mitral valve replacementquality of lifeminimally invasivesternotomy |
| spellingShingle | The Binh Nguyen Tran-Thuy Nguyen Long Hoang Luong Duc Hoang Nguyen Cong Huu Nguyen Ngoc Thanh Le Bao Giang Kim Minimally invasive versus median sternotomy for mechanical mitral valve replacement: a single-center comparative study of treatment outcomes and quality of life Italian Journal of Medicine Mechanical mitral valve replacement quality of life minimally invasive sternotomy |
| title | Minimally invasive versus median sternotomy for mechanical mitral valve replacement: a single-center comparative study of treatment outcomes and quality of life |
| title_full | Minimally invasive versus median sternotomy for mechanical mitral valve replacement: a single-center comparative study of treatment outcomes and quality of life |
| title_fullStr | Minimally invasive versus median sternotomy for mechanical mitral valve replacement: a single-center comparative study of treatment outcomes and quality of life |
| title_full_unstemmed | Minimally invasive versus median sternotomy for mechanical mitral valve replacement: a single-center comparative study of treatment outcomes and quality of life |
| title_short | Minimally invasive versus median sternotomy for mechanical mitral valve replacement: a single-center comparative study of treatment outcomes and quality of life |
| title_sort | minimally invasive versus median sternotomy for mechanical mitral valve replacement a single center comparative study of treatment outcomes and quality of life |
| topic | Mechanical mitral valve replacement quality of life minimally invasive sternotomy |
| url | https://www.italjmed.org/ijm/article/view/1963 |
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