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Minimally Invasive Mitral Valve Replacement Versus Conventional Approach: Comparison of Early Postoperative Outcomes.

Not Applicable
Conditions
Minimally Invasive Mitral Valve Surgery
Registration Number
NCT05504109
Lead Sponsor
Sohag University
Brief Summary

The term minimally invasive mitral valve surgery has been reported (MIMVS) by American Heart Association and referred to a collection of new techniques. All of these new techniques aiming to reduce surgical trauma by minimizing surgical incision, modified perfusion methods and use of new instruments . The right anterior mini-thoracotomy is the most common approach, next to it the lower mini-sternotomy approach, then the parasternal incision or the left posterior thoracotomy approach .

Technically MIMVS is more complex, requires a special learning curve and associated with higher Incidence of neurological events, aortic dissection, groin complications and infection despite all these benefits . MIVS also has controversies among cardiac surgeons, because it makes the exposure worse and requires a more complex surgery, which may lead to a less satisfying effect

Detailed Description

Not available

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
50
Inclusion Criteria
  • Patients with isolated rheumatic mitral valve disease in need for mitral valve replacement.
Exclusion Criteria
  • Redo mitral valve replacement.
  • Emergency mitral valve replacement (non-rheumatic cases).
  • Patients who have combined other valve diseases e.g. (severe Aortic Regurgitation).
  • Patients need Tricuspid valve repair or replacement.
  • Severely calcified mitral valve disease (mitral annular calcification).

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Primary Outcome Measures
NameTimeMethod
post-operative painimmediately post operative

pain score

total hospital stay in daysmaximum 7 days

days in hospital included ICU stay and ward stay

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Sohag University Hospital

🇪🇬

Sohag, Egypt

Sohag University Hospital
🇪🇬Sohag, Egypt
Osama R ELsheref, professor
Contact

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