Six-year single-centre experience in minimally invasive mitral valve repair – impact of the team learning curve on in-hospital clinical outcome

Witold Gerber; Krzysztof Sanetra; Małgorzata Kuczera; Krzysztof Białek; Marian Zembala; Marek Cisowski

doi:10.5114/kitp.2019.83942

eISSN: 1897-4252
ISSN: 1731-5530

Kardiochirurgia i Torakochirurgia Polska/Polish Journal of Thoracic and Cardiovascular Surgery

Current issue Archive Manuscripts accepted About the journal Supplements Editorial board Reviewers Abstracting and indexing Contact Instructions for authors Publication charge Ethical standards and procedures

Editorial System

Submit your Manuscript

1/2019
vol. 16

Send email

Copy url:

abstract:

Original paper

Six-year single-centre experience in minimally invasive mitral valve repair – impact of the team learning curve on in-hospital clinical outcome

Witold Gerber

^{1, 2, 3}

,

Krzysztof Sanetra

^{1, 2}

,

Małgorzata Kuczera

^{2, 4}

,

Krzysztof Białek

^{1, 2}

,

Marian Zembala

³

,

Marek Cisowski

^{1, 2}

1st Department of Cardiac Surgery, American Heart of Poland, Bielsko-Biala, Poland
Center for Cardiovascular Research and Development, American Heart of Poland, Bielsko-Biala, Poland
Department of Cardiac, Vascular and Endovascular Surgery and Transplantology in Zabrze, Medical University of Silesia in Katowice, Poland
Department of Anesthesia and Intensive Care, American Heart of Poland, Bielsko-Biala, Poland

Kardiochirurgia i Torakochirurgia Polska 2019; 16 (1): 27-31

DOI: https://doi.org/10.5114/kitp.2019.83942

Online publish date: 2019/04/04

View full text Get citation

EndNote

Papers, Reference Manager, RefWorks, Zotero

AMA

Gerber W, Sanetra K, Kuczera M, Białek K, Zembala M, Cisowski M. Six-year single-centre experience in minimally invasive mitral valve repair – impact of the team learning curve on in-hospital clinical outcome. Kardiochirurgia i Torakochirurgia Polska/Polish Journal of Thoracic and Cardiovascular Surgery. 2019;16(1):27-31. doi:10.5114/kitp.2019.83942.

APA

Gerber, W., Sanetra, K., Kuczera, M., Białek, K., Zembala, M.,  & Cisowski, M. (2019). Six-year single-centre experience in minimally invasive mitral valve repair – impact of the team learning curve on in-hospital clinical outcome. Kardiochirurgia i Torakochirurgia Polska/Polish Journal of Thoracic and Cardiovascular Surgery, 16(1), 27-31. https://doi.org/10.5114/kitp.2019.83942

Chicago

Gerber, Witold, Krzysztof Sanetra, Małgorzata Kuczera, Krzysztof Białek, Marian Zembala,  and Marek Cisowski. 2019. "Six-year single-centre experience in minimally invasive mitral valve repair – impact of the team learning curve on in-hospital clinical outcome". Kardiochirurgia i Torakochirurgia Polska/Polish Journal of Thoracic and Cardiovascular Surgery 16 (1): 27-31. doi:10.5114/kitp.2019.83942.

Harvard

Gerber, W., Sanetra, K., Kuczera, M., Białek, K., Zembala, M.,  and Cisowski, M. (2019). Six-year single-centre experience in minimally invasive mitral valve repair – impact of the team learning curve on in-hospital clinical outcome. Kardiochirurgia i Torakochirurgia Polska/Polish Journal of Thoracic and Cardiovascular Surgery, 16(1), pp.27-31. https://doi.org/10.5114/kitp.2019.83942

MLA

Gerber, Witold et al. "Six-year single-centre experience in minimally invasive mitral valve repair – impact of the team learning curve on in-hospital clinical outcome." Kardiochirurgia i Torakochirurgia Polska/Polish Journal of Thoracic and Cardiovascular Surgery, vol. 16, no. 1, 2019, pp. 27-31. doi:10.5114/kitp.2019.83942.

Vancouver

Gerber W, Sanetra K, Kuczera M, Białek K, Zembala M, Cisowski M. Six-year single-centre experience in minimally invasive mitral valve repair – impact of the team learning curve on in-hospital clinical outcome. Kardiochirurgia i Torakochirurgia Polska/Polish Journal of Thoracic and Cardiovascular Surgery. 2019;16(1):27-31. doi:10.5114/kitp.2019.83942.

PlumX metrics:

Introduction
Minimally invasive mitral repair is less traumatic and more acceptable for the patient than traditional surgery. However, it is a challenging procedure that requires effort from all the personnel involved.

Aim
To investigate the results of the minimally invasive mitral valve repair learning curve at the institution.

Material and methods
The indication for the surgery was severe mitral regurgitation. Patients with other valvular insufficiency, body mass index (BMI) > 30 kg/m², ejection fraction (EF) < 45%, aortic dilatation, reoperation, pleural adhesions, coronary artery disease requiring invasive treatment, and pregnant women were disqualified. The patients were assigned to one of three groups regarding their surgery date – group 1 (2012–2013), group 2 (2014–2015) and group 3 (2016–2017). The primary endpoints were death, myocardial infarction, stroke, an reoperation for mitral dysfunction. The investigation was performed to determine preoperative parameters (EuroSCORE, age, sex, BMI, arrhythmias, EF), intraoperative parameters (procedure, cross-clamp, extracorporeal circulation), and postoperative parameters (chest revision, transfusion, drainage, ventilation time, pleurocentesis, hospitalization time).

Results
There were 173 patients in total. One patient from group 1 (0.6% overall) died. No myocardial infarction or stroke was observed in any of the three groups. Chest revision count (5 vs. 1 vs. 1; p = 0.0004), total drainage (797.20 vs. 517.92 vs. 449.69; p = 0.0018) and hospitalization time (7.89 vs. 7.18 vs. 6.73; p = 0.0005) were significantly different among the groups. The ventilation time, transfusion number and pleurocentesis count did not differ significantly.

Conclusions
The procedure is safe and ensures optimal perioperative results. The number of complications is low and acceptable.

keywords:

Six-year single-centre experience in minimally invasive mitral valve repair – impact of the team learning curve on in-hospital clinical outcome

Witold Gerber 1, 2, 3 , Krzysztof Sanetra 1, 2 , Małgorzata Kuczera 2, 4 , Krzysztof Białek 1, 2 , Marian Zembala 3 , Marek Cisowski 1, 2

learning curve, mitral valve, repair

Witold Gerber

^{1, 2, 3}

,

Krzysztof Sanetra

^{1, 2}

,

Małgorzata Kuczera

^{2, 4}

,

Krzysztof Białek

^{1, 2}

,

Marian Zembala

³

,

Marek Cisowski

^{1, 2}