• Department of Cardiothoracic Surgery Xinhua Hospital, School of Medicine, Shanghai Jiaotong University;Shanghai 200092, P. R. China;
MEIJǔ, Email: ju_mei63@126.com
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Objective To compare the outcomes of concomitant mitral valve surgery and tricuspid valve surgery through right minithoracotomy and conventional median sternotomy approaches. Methods We retrospectively analyzed clinical data of 475 patients underwent mitral valve surgery combined with tricuspid valve surgery through right minithoracotomy or conventional median sternotomy in Xinhua Hospital between June 2006 and June 2013. The patients were divided into two groups including a minimally invasive group(116 patients) and a conventional group (359 patients). Results All the patients successfully underwent mitral valve and tricuspid valve surgery. During operation, there were 426 patients with no trivial mitral regurgitation (MR) and 49 patients with trivial MR. There were 282 patients with no tricuspid regurgitation (TR) and 193 patients with trivil TR. At discharge, transesophageal echocardiography showed that trivial MR in 38 patients, mild MR in 5 patients, trivial tricuspid regurgitation (TR) in 150 patients and mild TR in 7 patients. There was no significant difference between the two groups in complications. Conclusion Right minithoracotomy can achieve the similar therapeutic effect to conventional median sternotomy for patients with mitral valve disease and concomitant tricuspid valve disease. In addition, patients through right minithoracotomy had better cosmetic outcomes.

Citation: JIANGZhao-lei, MEIJǔ, DINGFang-bao, MANan, ZHANGJun-wen, LIUHao, HeYi, YINHang. Right Minithoracotomy versus Conventional Median Sternotomy for Patients Undergoing Mitral Valve Surgery Combined with Tricuspid Valve Surgery: A Case Control Study. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2015, 22(7): 646-649. doi: 10.7507/1007-4848.20150164 Copy

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