{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T01:30:32Z","timestamp":1784770232564,"version":"3.55.0"},"reference-count":26,"publisher":"S. Karger AG","issue":"10","license":[{"start":{"date-parts":[[2023,1,1]],"date-time":"2023-01-01T00:00:00Z","timestamp":1672531200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2023,1,1]],"date-time":"2023-01-01T00:00:00Z","timestamp":1672531200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Gerontology"],"published-print":{"date-parts":[[2023]]},"abstract":"<jats:p>Introduction: Despite the feasibility, safety, and excellent outcomes of mitral valve surgery through a right mini-thoracotomy, there is data paucity about its use in octogenarians. In this study, we assess the outcomes of mitral valve surgery via right mini-thoracotomy in octogenarians. Methods: We performed a retrospective analysis of the in-hospital perioperative data of 38 octogenarian patients with severe mitral regurgitation undergoing isolated mitral valve surgery via right mini-thoracotomy from 2013 to 2021 in our institution. Results: The median patient age was 82 (81\u201383) years, and the median EuroSCORE II was 3.1% (2.3\u20134.9). A total of 19 (50%) patients underwent mitral valve repair. The median cardiopulmonary bypass duration was 78 (54\u2013100) min and the median aortic cross-clamping duration was 57 (40\u201370) min. Two (5.3%) patients were converted to sternotomy, 1 (2.6%) underwent renal replacement therapy, 5 (13.2%) underwent reexploration for bleeding or tamponade, and 12 (31.6%) underwent permanent pacemaker implantation. The surgical repair success rate was 89.5%, with 2 (10.5%) patients requiring reoperation due to repair failure. No other patients required reoperation on the mitral valve. The median intensive care unit stay was 1 (1\u20132) day, and the median postoperative stay was 9.5 (8\u201314) days. There was no perioperative stroke or death. Conclusion: Despite a relatively increased risk of pacemaker implantation and reexploration for bleeding, our data support the feasibility of mitral valve surgery via a right mini-thoracotomy in octogenarians, with short ischemic times, low overall in-hospital morbidity, and no mortality. Preferring replacement in mitral diseases with a high risk for repair failure could minimize reoperations in this high-risk subgroup. <\/jats:p>","DOI":"10.1159\/000533560","type":"journal-article","created":{"date-parts":[[2023,10,11]],"date-time":"2023-10-11T21:06:42Z","timestamp":1697058402000},"page":"1211-1217","source":"Crossref","is-referenced-by-count":2,"title":["Isolated Minimally Invasive Mitral Valve Surgery in Octogenarians: Perioperative Outcome"],"prefix":"10.1159","volume":"69","author":[{"given":"Vasileios","family":"Ntinopoulos","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hector","family":"Rodriguez Cetina Biefer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nestoras","family":"Papadopoulos","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stak","family":"Dushaj","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Achim","family":"Haeussler","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Omer","family":"Dzemali","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"127","published-online":{"date-parts":[[2023,8,30]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2016.01.084"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2014.01.046"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2018.03.086"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.112.001402"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijcard.2019.11.137"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1055\/s-0041-1730374"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehab395"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.21037\/acs-2020-mv-24"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.3978\/j.issn.2225-319X.2013.10.13"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1093\/icvts\/ivv323"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2004.03.041"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejcts.2004.12.067"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1053\/j.jvca.2012.11.007"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1016\/s0003-4975(02)03928-0"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejcts.2010.11.019"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.4244\/EIJV9I10A205"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehq331"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.1111\/jocs.16195"},{"key":"ref19","doi-asserted-by":"publisher","DOI":"10.12659\/msm.906003"},{"key":"ref20","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2017.11.027"},{"key":"ref21","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2012.05.105"},{"key":"ref22","doi-asserted-by":"publisher","DOI":"10.1093\/ejcts\/ezs195"},{"key":"ref23","doi-asserted-by":"publisher","DOI":"10.1093\/ejcts\/ezt043"},{"key":"ref24","doi-asserted-by":"publisher","DOI":"10.3978\/j.issn.2225-319X.2013.08.02"},{"key":"ref25","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2019.08.1064"},{"key":"ref26","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2020.01.082"}],"container-title":["Gerontology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/karger.com\/ger\/article-pdf\/69\/10\/1211\/4056180\/000533560.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/karger.com\/ger\/article-pdf\/69\/10\/1211\/4056180\/000533560.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T15:37:38Z","timestamp":1745422658000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000533560"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023]]},"references-count":26,"journal-issue":{"issue":"10","published-online":{"date-parts":[[2023,10,16]]},"published-print":{"date-parts":[[2023,10,25]]}},"URL":"https:\/\/doi.org\/10.1159\/000533560","archive":["Portico"],"relation":{},"ISSN":["0304-324X","1423-0003"],"issn-type":[{"value":"0304-324X","type":"print"},{"value":"1423-0003","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023]]}}}