Port-Access Mitral Valve Surgery-An Evolution of Technique.

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2020-12

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Abstract

Port-access mitral valve surgery has been around since 1995; and many variations upon the technique have been developed. Since 1996, we have performed more than 2500 port-access mitral valve surgeries, and thus gained a substantial experience. The purpose of this document is to describe the current status of port-access mitral surgery at 1 institution, and to share the "know how" and life lessons behind the patient selection and conduct of the operation to accomplish results similar to those achieved from sternotomy mitral valve surgery. While port access started in larger institutions, it can be performed in small centers with the proper guidance of the pearls and pitfalls of this operation, given to young surgeons regarding the right way to start a program.

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Published Version (Please cite this version)

10.1053/j.semtcvs.2019.09.003

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Barac, Yaron D, and Donald D Glower (2020). Port-Access Mitral Valve Surgery-An Evolution of Technique. Seminars in thoracic and cardiovascular surgery, 32(4). pp. 829–837. 10.1053/j.semtcvs.2019.09.003 Retrieved from https://hdl.handle.net/10161/22844.

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Scholars@Duke

Glower

Donald D. Glower

Professor of Surgery

Current clinical research projects examine the effects of patient characteristics and surgical technique in outcome after minimally invasive cardiac surgery, valve repair and replacement, and coronary artery bypass grafting.
Prior work has examined the role of surgical therapy versus medical therapy in aortic dissection, load-independent means to quantify left and right ventricular function, and management of complex coronary disease.


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