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Minimally Invasive Surgery
Volume 2013, Article ID 179569, 10 pages
Review Article

Minimally Invasive Mitral Valve Surgery: A Systematic Review

1Cardiothoracic and Cardiology Department, Maastricht University, The Netherlands
2Heart and Vessels Department, Careggi Hospital, Florence, Italy
3Cardiology Department, Paolo Borsellino Hospital, Marsala, Italy

Received 8 June 2012; Revised 7 February 2013; Accepted 17 February 2013

Academic Editor: Gideon Uretzky

Copyright © 2013 Fabiana Lucà et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


In the recent years minimally invasive mitral valve surgery (MIMVS) has become a well-established and increasingly used option for managing patients with a mitral valve pathology. Nonetheless, whether the purported benefits of MIMVS translate into clinically important outcomes remains controversial. Therefore, in this paper we provide an overview of MIMVS and discuss results, morbidity, mortality, and quality of life following mitral minimally invasive procedures. MIMVS has been proven to be a feasible alternative to the conventional full sternotomy approach with low perioperative morbidity and short-term mortality. Reported benefits of MIMVS include also decreased postoperative pain, improved postoperative respiratory function, reduced surgical trauma, and greater patient satisfaction. Finally, compared to standard surgery, MIMVS demonstrated comparable efficacy across a range of long-term efficacy measures such as freedom from reoperation and long-term survival.