The Journal of Thoracic and Cardiovascular Surgery
Volume 139, Issue 4 , Pages 926-932.e2 , April 2010

Minimally invasive versus conventional mitral valve surgery: A propensity-matched comparison

  • Lars G. Svensson, MD, PhD

      Affiliations

    • Center for Aortic Surgery and Marfan and Connective Tissue Disorder Clinic, the Department of Thoracic and Cardiovascular Surgery, Heart and Vascular Institute, Cleveland, Ohio
    • Corresponding Author InformationAddress for reprints: Lars G. Svensson, MD, PhD, Department of Thoracic and Cardiovascular Surgery, Cleveland Clinic, 9500 Euclid Ave/Mail Stop J4-1, Cleveland, OH 44195.
    • ,
  • Fernando A. Atik, MD

      Affiliations

    • Center for Aortic Surgery and Marfan and Connective Tissue Disorder Clinic, the Department of Thoracic and Cardiovascular Surgery, Heart and Vascular Institute, Cleveland, Ohio
    • ,
  • Delos M. Cosgrove, MD

      Affiliations

    • Center for Aortic Surgery and Marfan and Connective Tissue Disorder Clinic, the Department of Thoracic and Cardiovascular Surgery, Heart and Vascular Institute, Cleveland, Ohio
    • ,
  • Eugene H. Blackstone, MD

      Affiliations

    • Center for Aortic Surgery and Marfan and Connective Tissue Disorder Clinic, the Department of Thoracic and Cardiovascular Surgery, Heart and Vascular Institute, Cleveland, Ohio
    • Department of Quantitative Health Sciences, Research Institute, Cleveland Clinic, Cleveland, Ohio
    • ,
  • Jeevanantham Rajeswaran, MSc

      Affiliations

    • Department of Quantitative Health Sciences, Research Institute, Cleveland Clinic, Cleveland, Ohio
    • ,
  • Gita Krishnaswamy, MS

      Affiliations

    • Department of Quantitative Health Sciences, Research Institute, Cleveland Clinic, Cleveland, Ohio
    • ,
  • Ung Jin, MD

      Affiliations

    • Center for Aortic Surgery and Marfan and Connective Tissue Disorder Clinic, the Department of Thoracic and Cardiovascular Surgery, Heart and Vascular Institute, Cleveland, Ohio
    • ,
  • A. Marc Gillinov, MD

      Affiliations

    • Center for Aortic Surgery and Marfan and Connective Tissue Disorder Clinic, the Department of Thoracic and Cardiovascular Surgery, Heart and Vascular Institute, Cleveland, Ohio
    • ,
  • Brian Griffin, MD

      Affiliations

    • Center for Aortic Surgery and Marfan and Connective Tissue Disorder Clinic, the Department of Cardiovascular Medicine, Heart and Vascular Institute, Cleveland, Ohio
    • ,
  • José L. Navia, MD

      Affiliations

    • Center for Aortic Surgery and Marfan and Connective Tissue Disorder Clinic, the Department of Thoracic and Cardiovascular Surgery, Heart and Vascular Institute, Cleveland, Ohio
    • ,
  • Tomislav Mihaljevic, MD

      Affiliations

    • Center for Aortic Surgery and Marfan and Connective Tissue Disorder Clinic, the Department of Thoracic and Cardiovascular Surgery, Heart and Vascular Institute, Cleveland, Ohio
    • ,
  • Bruce W. Lytle, MD

      Affiliations

    • Center for Aortic Surgery and Marfan and Connective Tissue Disorder Clinic, the Department of Thoracic and Cardiovascular Surgery, Heart and Vascular Institute, Cleveland, Ohio

Received 3 December 2008 ,Revised 15 July 2009 ,Accepted 17 September 2009.

References 

  1. Cosgrove DM, Sabik JF, Navia JL. Minimally invasive valve operations. Ann Thorac Surg. 1998;65:1535–1539
  2. Gundry SR, Shattuck OH, Razzouk AJ, del Rio MJ, Sardari FF, Bailey LL. Facile minimally invasive cardiac surgery via ministernotomy. Ann Thorac Surg. 1998;65:1100–1104
  3. Cohn LH, Adams DH, Couper GS, Bichell DP, Rosborough DM, Sears SP, et al. Minimally invasive cardiac valve surgery improves patient satisfaction while reducing costs of cardiac valve replacement and repair. Ann Surg. 1997;226:421–428
  4. Chitwood WR, Wixon CL, Elbeery JR, Moran JF, Chapman WH, Lust RM. Video-assisted minimally invasive mitral valve surgery. J Thorac Cardiovasc Surg. 1997;114:773–782
  5. Schroeyers P, Wellens F, De Geest R, Degrieck I, Van Praet F, Vermeulen Y, et al. Minimally invasive video-assisted mitral valve surgery: our lessons after a 4-year experience. Ann Thorac Surg. 2001;72:S1050–S1054
  6. Grossi EA, Galloway AC, LaPietra A, Ribakove GH, Ursomanno P, Delianides J, et al. Minimally invasive mitral valve surgery: a 6-year experience with 714 patients. Ann Thorac Surg. 2002;74:660–664
  7. Svensson LG. Minimal-access “J” or “j” sternotomy for valvular, aortic, and coronary operations or reoperations. Ann Thorac Surg. 1997;64:1501–1503
  8. Svensson LG, D'Agostino RS. Minimal-access aortic and valvular operations, including the “J/j” incision. Ann Thorac Surg. 1998;66:431–435
  9. Svensson LG, D'Agostino RS. “J” incision minimal-access valve operations. Ann Thorac Surg. 1998;66:1110–1112
  10. Svensson LG, Nadolny EM, Kimmel WA. Minimal access aortic surgery including re-operations. Eur J Cardiothorac Surg. 2001;19:30–33
  11. Gillinov AM, Cosgrove DM. Minimally invasive mitral valve surgery: mini-sternotomy with extended transseptal approach. Semin Thorac Cardiovasc Surg. 1999;11:206–211
  12. Banbury MK, White JA, Blackstone EH, Cosgrove DM. Vacuum-assisted venous return reduces blood usage. J Thorac Cardiovasc Surg. 2003;126:680–687
  13. Rosenbaum PR, Rubin DB. The central role of the propensity score in observational studies for causal effects. Biometrika. 1983;70:41–55
  14. Rubin DB. The design versus the analysis of observational studies for causal effects: parallels with the design of randomized trials. Stat Med. 2007;26:20–36
  15. Blackstone EH. Comparing apples and oranges. J Thorac Cardiovasc Surg. 2002;123:8–15
  16. Breiman L. Bagging predictors. Machine Learning. 1996;24:123–140
  17. Bergstralh EJ, Konsanke JL. Computerized matching of cases to controls. Technical report No. 56. Department of Health Science Research. Rochester, Minn: Mayo Clinic; 1995;
  18. Mannino DM, Buist AS, Petty TL, Enright PL, Redd SC. Lung function and mortality in the United States: data from the First National Health and Nutrition Examination Survey follow up study. Thorax. 2003;58:388–393
  19. Wong DL, Baker CM. Pain in children: comparison of assessment scales. Pediatr Nurs. 1988;14:9–17
  20. Bieri D, Reeve RA, Champion GD, Addicoat L, Ziegler JB. The Faces Pain Scale for the self-assessment of the severity of pain experienced by children: development, initial validation, and preliminary investigation for ratio scale properties. Pain. 1990;41:139–150
  21. Boyle CA, Decoufle P. National sources of vital status information: extent of coverage and possible selectivity in reporting. Am J Epidemiol. 1990;131:160–168
  22. Newman TB, Brown AN. Use of commercial record linkage software and vital statistics to identify patient deaths. J Am Med Inform Assoc. 1997;4:233–237
  23. Blackstone EH, Naftel DC, Turner ME. The decomposition of time-varying hazard into phases, each incorporating a separate stream of concomitant information. J Am Stat Assoc. 1986;81:615–624
  24. Ryan WH, Dewey TM, Mack MJ, Herbert MA, Prince SL. Mitral valve surgery using the classical “heartport” technique. J Heart Valve Dis. 2005;14:709–714
  25. Mack MJ. New techniques for percutaneous repair of the mitral valve. Heart Fail Rev. 2006;11:259–268
  26. Silvestry FE, Rodriguez LL, Herrmann HC, Rohatgi S, Weiss SJ, Stewart WJ, et al. Echocardiographic guidance and assessment of percutaneous repair for mitral regurgitation with the Evalve MitraClip: lessons learned from EVEREST I. J Am Soc Echocardiogr. 2007;20:1131–1140
  27. Dubreuil O, Basmadjian A, Ducharme A, Thibault B, Crepeau J, Lam JY, et al. Percutaneous mitral valve annuloplasty for ischemic mitral regurgitation: first in man experience with a temporary implant. Catheter Cardiovasc Interv. 2007;69:1053–1061
  28. Daimon M, Gillinov AM, Liddicoat JR, Saracino G, Fukuda S, Koyama Y, et al. Dynamic change in mitral annular area and motion during percutaneous mitral annuloplasty for ischemic mitral regurgitation: preliminary animal study with real-time 3-dimensional echocardiography. J Am Soc Echocardiogr. 2007;20:381–388
  29. Webb JG, Harnek J, Munt BI, Kimblad PO, Chandavimol M, Thompson CR, et al. Percutaneous transvenous mitral annuloplasty: initial human experience with device implantation in the coronary sinus. Circulation. 2006;113:851–855
  30. Choure AJ, Garcia MJ, Hesse B, Sevensma M, Maly G, Greenberg NL, et al. In vivo analysis of the anatomical relationship of coronary sinus to mitral annulus and left circumflex coronary artery using cardiac multidetector computed tomography: implications for percutaneous coronary sinus mitral annuloplasty. J Am Coll Cardiol. 2006;48:1938–1945
  31. Dumont E, Gillinov AM, Blackstone NW, Sabik JF, Svensson S, Mihaljevic T, et al. Reoperation after mitral valve repair for degenerative disease. Ann Thorac Surg. 2007;84:444–450
  32. Gillinov AM, Bakaeen F, McCarthy PM, Blackstone EH, Rajeswaran J, Pettersson G, et al. Surgery for paroxysmal atrial fibrillation in the setting of mitral valve disease: a role for pulmonary vein isolation?. Ann Thorac Surg. 2006;81:19–28
  33. Gillinov AM, Cosgrove DM, Blackstone EH, Diaz R, Arnold JH, Lytle BW, et al. Durability of mitral valve repair for degenerative disease. J Thorac Cardiovasc Surg. 1998;116:734–743

 Supported in part by the Kenneth Gee and Paula Shaw, PhD, Chair in Heart Research (held by Dr Blackstone); the Judith Dion Pyle Chair in Heart Valve Research (held by Dr Gillinov); and the John and Rosemary Brown Endowed Chair in Cardiovascular Medicine (held by Dr Griffin).

 Disclosures: Dr Gillinov is a consultant to Edwards Lifesciences and receives honoraria for speaking from St Jude Medical, Inc. He has an equity interest in Viacor, Inc.

PII: S0022-5223(09)01265-3

doi: 10.1016/j.jtcvs.2009.09.038

The Journal of Thoracic and Cardiovascular Surgery
Volume 139, Issue 4 , Pages 926-932.e2 , April 2010

Article Tools

* Image Usage & Resolution