{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T12:18:52Z","timestamp":1777551532557,"version":"3.51.4"},"reference-count":15,"publisher":"SAGE Publications","issue":"7","license":[{"start":{"date-parts":[[2020,3,2]],"date-time":"2020-03-02T00:00:00Z","timestamp":1583107200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100003453","name":"Natural Science Foundation of Guangdong Province","doi-asserted-by":"publisher","award":["2016A030313799"],"award-info":[{"award-number":["2016A030313799"]}],"id":[{"id":"10.13039\/501100003453","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Asian Cardiovasc Thorac Ann"],"published-print":{"date-parts":[[2020,9]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Disagreement exists regarding methods for repair of the mitral valve. We compared early outcomes of mitral valvuloplasty by a minimally invasive technique and by a median sternotomy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The data of 507 patients (mean age 47.9\u2009\u00b1\u200915.2 years) undergoing mitral valvuloplasty from January 2015 to June 2018 were analyzed retrospectively. In the study group ( n\u2009=\u2009225), mitral valvuloplasty via a totally thoracoscopic approach was performed by a single surgeon. In the control group ( n\u2009=\u2009282), mitral valvuloplasty via the traditional median sternotomy was carried out by other cardiac surgeons in our hospital. Clinical data, surgical results, and follow-up findings in the two groups were comparatively analyzed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>In the study group, the blood transfusion rate (5.3% vs. 20.9%, p\u2009&lt;\u20090.05) and incidences of poor wound healing (0 vs. 5.3%, p\u2009&lt;\u20090.05) and respiratory tract infection (4.4% vs. 16.3%, p\u2009&lt;\u20090.05) were lower, and postoperative hospitalization was shorter (5.9\u2009\u00b1\u20094.0 vs. 10.7\u2009\u00b1\u20098.4 days, p\u2009&lt;\u20090.05). Within 30 days after surgery, no patient died in the study group while one died in the control group. The duration of follow-up was 12\u201336 months (mean 22.9\u2009\u00b1\u20098.8 months). During follow-up, there were 1 and 0 cases of redo surgery and 1 and 3 deaths in the study group and control group, respectively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Mitral valvuloplasty via a minimally invasive approach is superior to the traditional median sternotomy in terms of early outcomes, especially when performed by experienced surgeons.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0218492320911756","type":"journal-article","created":{"date-parts":[[2020,3,2]],"date-time":"2020-03-02T23:35:14Z","timestamp":1583192114000},"page":"398-403","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["Early outcomes of mitral valvuloplasty by minimally invasive surgery or sternotomy"],"prefix":"10.1177","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0313-7785","authenticated-orcid":false,"given":"Huan-lei","family":"Huang","sequence":"first","affiliation":[{"name":"Department of Cardiovascular Surgery, Guangdong Provincial Cardiovascular Institute, Guangdong Provincial People\u2019s Hospital (Guangdong Academy of Medical Sciences), Guangzhou, China"},{"name":"The Second School of Clinical Medicine, Southern Medical University, Guangzhou, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4226-7139","authenticated-orcid":false,"given":"Qian","family":"Yan","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Guangdong Provincial Cardiovascular Institute, Guangdong Provincial People\u2019s Hospital (Guangdong Academy of Medical Sciences), Guangzhou, China"},{"name":"The Second School of Clinical Medicine, Southern Medical University, Guangzhou, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xu-jing","family":"Xie","sequence":"additional","affiliation":[{"name":"Department of Cardiology, The Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kan","family":"Zhou","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Guangdong Provincial Cardiovascular Institute, Guangdong Provincial People\u2019s Hospital (Guangdong Academy of Medical Sciences), Guangzhou, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Biao-chuan","family":"He","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Guangdong Provincial Cardiovascular Institute, Guangdong Provincial People\u2019s Hospital (Guangdong Academy of Medical Sciences), Guangzhou, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Liang","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Guangdong Provincial Cardiovascular Institute, Guangdong Provincial People\u2019s Hospital (Guangdong Academy of Medical Sciences), Guangzhou, China"},{"name":"The Second School of Clinical Medicine, Southern Medical University, Guangzhou, China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2020,3,2]]},"reference":[{"key":"bibr1-0218492320911756","doi-asserted-by":"publisher","DOI":"10.1186\/s13019-018-0819-1"},{"key":"bibr2-0218492320911756","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.112.001402"},{"key":"bibr3-0218492320911756","first-page":"84","volume":"17","author":"Zhao L","year":"2019","journal-title":"Chinese J Extracor 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