Cor Vasa 2025, 67(5):586-589 | DOI: 10.33678/cor.2025.039

(Minimally Invasive Mitral Valve Surgery via Video-Assisted Thoracotomy - A Single Center Study)

Marián Homola, Štefan Lukačín, Tomáš Toporcer, Anton Bereš, Michal Trebišovský, Peter Šafár, Adrián Kolesár
Klinika srdcovej chirurgie, Východoslovenský ústav srdcových a cievnych chorôb, a. s., Košice, Slovenská republika

Minimally invasive mitral valve surgery (MIMVS), using video-assisted thoracoscopic surgery (VATS), has estab- lished itself as an effective approach in cardiac surgery over the past 30 years. This type of surgery allows for smaller incisions, leading to faster recovery and fewer postoperative complications. This retrospective study analyzed 54 patients who underwent minimally invasive mitral valve surgery between May 2018 and May 2024 at the Department of Heart Surgery, East Slovak Institute for Cardiovascular Diseases. The results showed that 92% of patients underwent mitral valve repair with the implantation of an annuloplasty ring, while in 8% of cases, valve replacement was necessary. Postoperatively, there was a significant improvement in valve function and a reduction in regurgitation, with no recorded mortality. Postoperative monitoring showed an average ejection fraction of 56.2%. MIMVS offers advantages in shorter recovery times and reduced need for transfusions, but it is associated with higher surgical demands and a risk of complications. Standard surgical outcomes can be achieved in early cases despite the technical complexity of MIMVS. The introduction of this procedure does not negatively affect the surgery's outcomes, and our short-term results suggest that clinical outcomes and the durability of mitral valve repair are not compromised. It can be assumed that with the completion of further studies and wider standardization of surgical procedures, the application of this method will become more widespread.

Keywords: Annuloplasty ring, Minimally invasive surgery, Mitral regurgitation, Mitral valve, Mitral valve repair, Video-assisted thoracoscopic surgery,

Received: February 13, 2025; Revised: February 13, 2025; Accepted: March 10, 2025; Prepublished online: June 2, 2012; Published: November 6, 2025  Show citation

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Homola M, Lukačín Š, Toporcer T, Bereš A, Trebišovský M, Šafár P, Kolesár A. (Minimally Invasive Mitral Valve Surgery via Video-Assisted Thoracotomy - A Single Center Study). Cor Vasa. 2025;67(5):586-589. doi: 10.33678/cor.2025.039.
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