• Ryszard Bachowski, Stanisław Woś, Wojciech Domaradzki, Roman Mrozek, Marek Jasiński, Dariusz Szurlej, Krzysztof Gołba, Jolanta Biernat, Piotr Olszówka, Maciej Kolowca, and Piotr Duraj.
• Department of Cardiac Surgery, Silesian Medical School, Katowice, Poland.
• Kardiol Pol. 2004 May 1;60(5):481-8.

BackgroundMinimally invasive cardiac surgery has been introduced to treat various cardiac disorders, predominantly ischaemic heart disease. Its usage in valvular disorders has been only recently proposed.AimTo assess safety and efficacy of minimally invasive mitral valve surgery.MethodsThe procedure was performed in 10 patients (6 females, 4 males, mean age 59+/-7 years). All but one had preserved left ventricular ejection fraction. Two patients underwent mitral valvuloplasty, and mitral valve replacement was performed in all remaining cases. One procedure was a redo surgery following mitral commisurotomy.ResultsIn all patients the procedure was effective. Prolongation of cardiopulmonary bypass and aorta cross-clamping time did not increase the complication rate which included one wound infection, one repeated cannulation of the femoral vessels and one minor stroke. Rehabilitation process seemed to be shorter than after standard procedures.ConclusionsMinimally invasive mitral valve surgery is a safe and alternative method of treatment, and is associated with excellent cosmetic results.

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