Equivalent outcomes with minimally invasive and sternotomy mitral valve repair for degenerative mitral valve disease

• DOI: 10.1111/jocs.15586
• Publication Date: 2021-04-28T19:53:36Z
• Authors: Michael E. Bowdish; Ramsey S. Elsayed; James M. Tatum; Robbin G. Cohen; Wendy J. Mack; Brittany Abt; Victoria Yin; Mark L. Barr; Vaughn A. Starnes
• Keywords: Cumulative incidence; Median sternotomy

Debate continues in regard to the optimal surgical approach mitral valve for degenerative disease.Between February 2004 and July 2015, 363 patients underwent repair disease via either sternotomy (sternotomy, n = 109) or small right anterior thoracotomy (minimally invasive, 259). Survival, need reoperation, progression of regurgitation more than two grades were compared between cohorts using time-based statistical methods inverse probability weighting.Survival at 1, 5, 10 years 99.2, 98.3, 96.8 group 98.1, 94.9, 94.9 minimally invasive (hazard ratio: 0.39, 95% confidence interval [CI] 0.11-1.30, p .14). The cumulative incidence reoperation with death as a competing outcome 3, 5 2.7%, 2.7% cohort 1.5%, 3.3%, 4.1% (subhazard ratio (SHR) 1.17, CI: 0.33-4.20, .81). Cumulative 5.5%, 14.4%, 44.5% 4.2%, 9.7%, 20.5% (SHR: 0.67, 0.28-1.63, .38). Inverse weighted analyses based on preoperative assignment also demonstrated equivalent outcomes approaches.Minimally is associated survival durability.