{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T08:55:25Z","timestamp":1785488125161,"version":"3.56.0"},"reference-count":15,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2019,7,24]],"date-time":"2019-07-24T00:00:00Z","timestamp":1563926400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Innovations\ufffd(Phila)"],"published-print":{"date-parts":[[2019,10]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>The aim of this study was to evaluate whether the addition of concomitant tricuspid valve surgery (TVS) negatively impacted operative outcomes of minimally invasive mitral valve surgery (MIMVS).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Patients undergoing MIMVS via a port-access right minithoracotomy between 2002 and 2014 at a single institution were reviewed. Patients were primarily stratified by those undergoing isolated MIMVS versus MIMVS+TVS. Propensity-matched cohorts were generated. Operative outcomes were compared between the propensity-matched cohorts and included operative mortality, complications, and length of hospital stay.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 1,158 patients underwent MIMVS via port-access right minithoracotomy. The majority of cases were elective (93%; n = 1,071) and 148 (13%) underwent concomitant MIMVS + TVS. Patients undergoing MIMVS + TVS were at higher risk at baseline. After propensity-matching, there were 119 isolated MIMVS and 119 MIMVS + TVS patients that were well matched with respect to all baseline variables. Cardiopulmonary bypass (148 \u00b1 54 minutes versus 175 \u00b1 54 minutes, P &lt; 0.001) and aortic occlusion times (105 \u00b1 36 minutes versus 128 \u00b1 40 minutes, P &lt; 0.001) were longer in the MIMVS + TVS group. Operative mortality was comparable (3% isolated MIMVS versus 4% for MIMVS + TVS; P = 0.73). Permanent pacemakers were required less frequently in the isolated MIMVS group (1% versus 6%; P = 0.03). All other complication rates were similar. Median length of hospital stay (7 versus 8 days; P = 0.13) and discharge-to-home rates (89% versus 94%; P = 0.15) were comparable.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Despite longer operative times, minimally invasive TVS performed concomitantly with MIMVS has similar operative outcomes with the exception of a higher pacemaker rate when compared with isolated MIMVS.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1556984519864939","type":"journal-article","created":{"date-parts":[[2019,7,24]],"date-time":"2019-07-24T06:59:22Z","timestamp":1563951562000},"page":"412-418","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":9,"title":["Operative Outcomes of Concomitant Minimally Invasive Mitral and Tricuspid Valve Surgery"],"prefix":"10.1177","volume":"14","author":[{"given":"Arman","family":"Kilic","sequence":"first","affiliation":[{"name":"Division of Cardiac Surgery, University of Pittsburgh, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wilson Y.","family":"Szeto","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Surgery, University of Pennsylvania, Philadelphia, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pavan","family":"Atluri","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Surgery, University of Pennsylvania, Philadelphia, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael A.","family":"Acker","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Surgery, University of Pennsylvania, Philadelphia, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"W.","family":"Clark Hargrove","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Surgery, University of Pennsylvania, Philadelphia, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2019,7,24]]},"reference":[{"key":"bibr1-1556984519864939","first-page":"e521","volume":"2014","author":"Nishimura RA.","year":"2014","journal-title":"Circulation"},{"key":"bibr2-1556984519864939","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2016.06.004"},{"key":"bibr3-1556984519864939","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2012.03.020"},{"key":"bibr4-1556984519864939","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-199710000-00003"},{"key":"bibr5-1556984519864939","doi-asserted-by":"publisher","DOI":"10.1016\/0003-4975(96)00779-5"},{"key":"bibr6-1556984519864939","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2015.01.059"},{"key":"bibr7-1556984519864939","doi-asserted-by":"publisher","DOI":"10.1097\/imi.0000000000000191"},{"key":"bibr8-1556984519864939","first-page":"758","volume":"2","author":"Pfannm\u00fcller B.","year":"2013","journal-title":"Ann Cardiothorac Surg"},{"key":"bibr9-1556984519864939","doi-asserted-by":"publisher","DOI":"10.1186\/s13019-015-0390-y"},{"key":"bibr10-1556984519864939","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2014.01.046"},{"key":"bibr11-1556984519864939","doi-asserted-by":"publisher","DOI":"10.1016\/j.hlc.2018.02.002"},{"key":"bibr12-1556984519864939","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.112.001402"},{"key":"bibr13-1556984519864939","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2017.01.083"},{"key":"bibr14-1556984519864939","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2017.10.032"},{"key":"bibr15-1556984519864939","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2009.03.048"}],"container-title":["Innovations: Technology and Techniques in Cardiothoracic and Vascular 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