RT Book, Section
A1 Lehr, Eric J.
A1 Rodriguez, Evelio
A1 Chitwood, Jr., W. Randolph
A2 Cohn, Lawrence H.
SR Print(0)
ID 55923807
T1 Chapter 44. Minimally Invasive and Robotic Mitral Valve Surgery
T2 Cardiac Surgery in the Adult, 4e
YR 2012
FD 2012
PB The McGraw-Hill Companies
PP New York, NY
SN 978-0-07-163310-9
LK accesssurgery.mhmedical.com/content.aspx?aid=55923807
RD 2024/04/18
AB Minimally  invasive  mitral  valve  surgery  (MIMVS)  does  not  refer  to  a  single  approach,  but  rather  to  a  collection  of  new  techniques  and  operation-specific  technologies.  These  include  enhanced  visualization  and  instrumentation  systems  as  well  as  modified  perfusion  methods,  all  directed  toward  minimizing  surgical  trauma  by  reducing  the  incision  size.  Cohn  and  Cosgrove,  along  with  several  European  surgeons,  first  modified  cardiopulmonary  bypass  techniques  and  reduced  incision  sizes  to  enable  safe,  effective,  minimally  invasive  aortic  and  mitral  valve  surgery.1–3  Concurrently,  port-access  methods  using  endoaortic  balloon  occluders  were  developed.4  Despite  expanding  enthusiasm  for  minimally  invasive  valve  surgery,  many  surgeons  remained  skeptical  and  became  critical  of  complex  operations  done  through  small  incisions,  owing  to  possibilities  of  unsafe  operations,  unknown  operative  complexities,  and  inferior  results.5,6