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Minimal Access Mitral Valve Surgery

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Minimally Invasive Thoracic and Cardiac Surgery

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Abstract

Surgical repair of the mitral valve has been performed for decades through a median sternotomy with excellent immediate and long-term results. Mitral valve repair offers improved survival over mitral valve replacement. Techniques of mitral valve repair have evolved greatly and allow repairing most of the degenerative and prolapsed valve including Barlow’s disease. In recent years, alternative incisions have explored minimally invasive approaches to the mitral valve with the help of video assistance. “Port-access” mitral valve surgery (video-assisted mitral valve surgery via a mini right thoracotomy) has rapidly been adopted by most minimal invasive team around the world and can offer mitral valve repair with equivalent quality as median sternotomy. Another tool has been introduced with the da Vinci robotic system (Intuitive Surgical Inc., Mountain view, California) which provides three-dimensional vision, magnification, miniaturized instruments, and mobility through seven degrees of freedom mimicking the human wrists.

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Author information

Authors and Affiliations

  1. Chirurgie Cardiaque Vasculaire & Transplantation, Institut Lorrain du Coeur et des Vaisseaux Louis Mathieu, CHU Brabois-Nancy, France

    Thierry A. Folliguet M.D., FACS

Authors
  1. Thierry A. Folliguet M.D., FACS
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Correspondence to Thierry A. Folliguet M.D., FACS .

Editor information

Editors and Affiliations

  1. Klinik Hirslanden, Thoraxzentrum Zürich, Witellikerstr. 40, Zürich, 8008, Switzerland

    Rolf Gilbert Carl Inderbitzi

  2. , Division of General Thoracic Surgery, University Hospital Berne
, Freiburgstr. 2010, Berne, 3010, Switzerland

    Ralph Alexander Schmid

  3. , Department of Cardio-Thoracic Surgery, University of Pisa, Via Paradisa 2, Pisa, 56100, Italy

    Franca M. A. Melfi

  4. St. Mary's Hospital, Department of Cardio-Thoracic Surgery, Imperial College Healthcare NHS Trust, Praed Street, LONDON, W2 1NY, United Kingdom

    Roberto Pasquale Casula

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© 2012 Springer-Verlag Berlin Heidelberg

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Folliguet, T.A. (2012). Minimal Access Mitral Valve Surgery. In: Inderbitzi, R., Schmid, R., Melfi, F., Casula, R. (eds) Minimally Invasive Thoracic and Cardiac Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-11861-6_39

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  • DOI: https://doi.org/10.1007/978-3-642-11861-6_39

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-11860-9

  • Online ISBN: 978-3-642-11861-6

  • eBook Packages: MedicineMedicine (R0)

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