{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,29]],"date-time":"2026-08-29T00:33:51Z","timestamp":1787963631093,"version":"build-2784847793"},"reference-count":15,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","license":[{"start":{"date-parts":[[2024,7,1]],"date-time":"2024-07-01T00:00:00Z","timestamp":1719792000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,7]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>In recent years, minimally invasive mitral valve surgery has become a standard procedure all over the world. A simplified and reproducible technique for performing mitral valve surgery through a right minithoracotomy with central aortocaval cannulation from the same incision, utilizing conventional instruments, has been developed. This innovative approach eliminates the requirement for endoscopic assistance, femoral arterial cannulation, and associated complications. This study aims to analyze the outcomes of patients who underwent minimally invasive mitral valve replacements (MVRs) with central cannulation between January 2016 and June 2018.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>To conduct this analysis, preoperative variables, intraoperative data, and postoperative outcomes of patients undergoing minimally invasive MVRs were prospectively collected in our database from January 2016 to June 2018.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      A total of 350 patients underwent minimally invasive MVR surgery, with a mean age of 33.40 \u00b1 10.89 years. Among them, 9.4% underwent concomitant procedures, such as tricuspid valve surgery and atrial septal defect closure. The mean cardiopulmonary bypass and cross-clamp times were 54.45 \u00b1 4.95 min and 36.85 \u00b1 4.39 min, respectively. Conversion to sternotomy was required in none of the patients. Major morbidities included stroke (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 1; 0.29%) and new-onset dialysis requirement (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 3; 0.85%). The mean blood transfusion requirement was 0.15 \u00b1 0.27 units. The mean intensive care unit stay was 2.13 \u00b1 0.32 days, and the hospital stay was 5.36 \u00b1 1.12 days.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>This study represents a valuable option in MVR surgery. Thoracotomy MVR is a safe and reproducible technique with excellent cosmesis.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/heartviews.heartviews_10_24","type":"journal-article","created":{"date-parts":[[2025,1,4]],"date-time":"2025-01-04T09:00:21Z","timestamp":1735981221000},"page":"127-132","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":3,"title":["Anterolateral Minithoracotomy Mitral Valve Surgery with Central Cannulation: A Three-year Single-Center Experience"],"prefix":"10.4103","volume":"25","author":[{"given":"Anil","family":"Sharma","sequence":"first","affiliation":[{"name":"Department of Cardiovascular and Thoracic Surgery, SMS Medical College, Jaipur, Rajasthan, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sunil","family":"Dixit","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular and Thoracic Surgery, SMS Medical College, Jaipur, Rajasthan, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohit","family":"Sharma","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular and Thoracic Surgery, SMS Medical College, Jaipur, Rajasthan, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jai Kishan","family":"Suthar","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular and Thoracic Surgery, Apex Hospital, Bikaner, Rajasthan, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sourabh","family":"Mittal","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular and Thoracic Surgery, SMS Medical College, Jaipur, Rajasthan, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,1,4]]},"reference":[{"key":"R1-20260423","doi-asserted-by":"crossref","first-page":"556","DOI":"10.1016\/S0022-5223(96)70307-0","article-title":"Minimally invasive 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Surg"},{"key":"R11-20260423","doi-asserted-by":"crossref","first-page":"84","DOI":"10.1097\/imi.0b013e3182167feb","article-title":"Minimally invasive versus conventional open mitral valve surgery: a meta-analysis and systematic review","volume":"6","author":"Cheng","year":"2011","journal-title":"Innovations (Phila)"},{"key":"R12-20260423","doi-asserted-by":"crossref","first-page":"1199","DOI":"10.1016\/j.jtcvs.2012.12.070","article-title":"One thousand minimally invasive mitral valve operations: early outcomes, late outcomes, and echocardiographic follow-up","volume":"145","author":"McClure","year":"2013","journal-title":"J Thorac Cardiovasc Surg"},{"key":"R13-20260423","doi-asserted-by":"crossref","first-page":"529","DOI":"10.1097\/01.sla.0000137141.55267.47","article-title":"One thousand minimally invasive valve operations: early and late results","volume":"240","author":"Mihaljevic","year":"2004","journal-title":"Ann 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