{
    "abstract": "The prevalence of mitral valve (MV) regurgitation (MR) increases with age, but the invasiveness of surgical intervention may delay treatment in elderly patients. The present study compares the results of robotic mitral repair in patients over 65 years to outcomes of MV repair performed via median sternotomy.\nWe identified 613 patients 65 years or older who underwent isolated MV repair for the first time through a robotic approach or standard median sternotomy. Propensity score matching was used to adjust for baseline differences. Primary endpoints were long-term all-cause mortality, reintervention-free survival, probability of moderate/severe MR during follow-up, and quality of life outcomes.\nThe 189 matched patients in each group had similar baseline characteristics. The median age was 70 years (67-74), and 33.1% were females. All patients had severe MR prior to surgery. Overall operative mortality was 0.3%. Compared to patients in the sternotomy group, those in the robotic group required less blood transfusions (21% versus 32%), had a lower incidence of postoperative atrial fibrillation (33% versus 44%), and had shorter ICU (-3 hours) and total hospital stays (-1 day). There was no significant difference in long-term survival between the matched groups (p=0.65). Similarly, long-term trends of progression of MR were comparable, as were rates of MV reintervention- (p=0.77). Patients in both groups reported a similar degree of improvement in quality-of-life following surgery.\nRobotic MV repair in older patients is associated with better short-term postoperative outcomes compared to standard median sternotomy, and long-term outcomes are similar.",
    "authors": [
        {
            "affiliation": "Department of Cardiovascular Surgery, Mayo Clinic, Rochester, Minnesota, USA.",
            "firstname": "Tedy",
            "initials": "T",
            "lastname": "Sawma"
        },
        {
            "affiliation": "Department of Cardiovascular Surgery, Mayo Clinic, Rochester, Minnesota, USA. Electronic address: arghami.arman@mayo.edu.",
            "firstname": "Arman",
            "initials": "A",
            "lastname": "Arghami"
        },
        {
            "affiliation": "Department of Cardiovascular Surgery, Mayo Clinic, Rochester, Minnesota, USA.",
            "firstname": "Phillip G",
            "initials": "PG",
            "lastname": "Rowse"
        },
        {
            "affiliation": "Department of Cardiovascular Surgery, Mayo Clinic, Rochester, Minnesota, USA.",
            "firstname": "Sina",
            "initials": "S",
            "lastname": "Danesh"
        },
        {
            "affiliation": "Department of Cardiovascular Surgery, Mayo Clinic, Rochester, Minnesota, USA.",
            "firstname": "Yazan",
            "initials": "Y",
            "lastname": "Aljamal"
        },
        {
            "affiliation": "Department of Biomedical Statistics and Informatics, Mayo Clinic, Rochester, Minnesota, USA.",
            "firstname": "Austin",
            "initials": "A",
            "lastname": "Todd"
        },
        {
            "affiliation": "Department of Cardiovascular Surgery, Mayo Clinic, Rochester, Minnesota, USA.",
            "firstname": "Joseph A",
            "initials": "JA",
            "lastname": "Dearani"
        },
        {
            "affiliation": "Department of Cardiovascular Surgery, Mayo Clinic, Rochester, Minnesota, USA.",
            "firstname": "Richard C",
            "initials": "RC",
            "lastname": "Daly"
        },
        {
            "affiliation": "Department of Cardiovascular Surgery, Mayo Clinic, Rochester, Minnesota, USA.",
            "firstname": "Juan A",
            "initials": "JA",
            "lastname": "Crestanello"
        },
        {
            "affiliation": "Department of Cardiovascular Surgery, Mayo Clinic, Rochester, Minnesota, USA.",
            "firstname": "Hartzell V",
            "initials": "HV",
            "lastname": "Schaff"
        }
    ],
    "conclusions": null,
    "copyrights": "Copyright \u00a9 2025. Published by Elsevier Inc.",
    "doi": "10.1016/j.athoracsur.2025.04.008",
    "journal": "The Annals of thoracic surgery",
    "keywords": [],
    "methods": null,
    "publication_date": "2025-04-28",
    "pubmed_id": "40288731",
    "results": "The 189 matched patients in each group had similar baseline characteristics. The median age was 70 years (67-74), and 33.1% were females. All patients had severe MR prior to surgery. Overall operative mortality was 0.3%. Compared to patients in the sternotomy group, those in the robotic group required less blood transfusions (21% versus 32%), had a lower incidence of postoperative atrial fibrillation (33% versus 44%), and had shorter ICU (-3 hours) and total hospital stays (-1 day). There was no significant difference in long-term survival between the matched groups (p=0.65). Similarly, long-term trends of progression of MR were comparable, as were rates of MV reintervention- (p=0.77). Patients in both groups reported a similar degree of improvement in quality-of-life following surgery.",
    "title": "Benefits of robotic mitral valve repair in elderly patients - an adjusted comparison with standard sternotomy.",
    "xml": "<Element 'PubmedArticle' at 0x7885044349f0>"
}