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Follow on Google News | Groundbreaking study from Mount Sinai Medical Center of Miami Beach publishedMount Sinai Medical Center of Miami Beach has just published a groundbreaking study that explores minimally invasive valve surgery v. median sternotomy in elderly. This is the first study to examine a population older than any other previous study.
One out of every eight individuals over the age of 75 has moderate to severe valvular disease. This is a potential population of 4.2 to 5.6 million at present. This number is expected to double by 2030, as our population ages. Many elderly patients, however, are denied intervention by surgical centers and excluded from studies due to old age. Mount Sinai’s study examined a population older than any other previously published study that investigated minimally invasive heart surgeries, making it the first of its kind to report findings that can be of significant importance in the health of the elderly population. The study was conducted by Joseph Lamelas, M.D. (Chief of Cardiac Surgery at Mount Sinai Medical Center), Gervasio Lamas , M.D.(Chief, Columbia University Division of Cardiology at Mount Sinai Medical Center), Orlando Santana, M.D. (Director of Echocardiography Laboratory, Columbia University Division of Cardiology at Mount Sinai Medical Center), and Alejandro Sarria, M.D. (Cardiology Fellow at Mount Sinai Medical Center). There were 203 subjects, at least 75 years of age or older (mean age of 80) who underwent isolated valve surgery during the analysis period. Of these, 119 (59%) underwent minimally invasive surgery and 84 (41%) underwent a median sternotomy. All minimally invasive cases were performed by Mount Sinai’s Chief of Cardiac Surgery, Dr. Joseph Lamelas, who performs the highest volume of cardiac surgeries in Florida and has the best cardiac surgical outcomes in South Florida *(for complex, high-volume cases). In this study, when compared to the 84 patients who underwent a traditional median sternotomy, the 119 patients who underwent a minimally invasive valve surgery had significantly better outcomes that resulted in a: • Lower percentage of complication rates during procedure (21% vs. 45%) • Lower incidence of kidney failure (0.8% vs. 16.7%) • Lower rate of wound infection (0.8% vs. 6%) • Shorter intensive care unit stay (52 hours v. 119 hours) • Shorter hospital stay (7 days vs. 12 days) Overall, the Mount Sinai study results demonstrated that minimally invasive valve surgery is feasible and should be considered for older patients who might otherwise not have access to valve surgery due to high risk. • Opportunity for interviews and photographs are available. Please coordinate with Joanna Palmer: jpalmer2@msmc.com/ • Outcomes of Minimally Invasive Valve Surgery Versus Median Sternotomy in Patients Age 75 Years or Greater Joseph Lamelas, Alejandro Sarria, Orlando Santana, Andres M. Pineda, and Gervasio A. Lamas Annals of Thoracic Surgery, 2011; 91:79-84. # # # Mount Sinai Medical Center is the largest independent, private, not-for-profit teaching hospital in South Florida. Mount Sinai's Centers of Excellence combine technology, research and academics to provide innovative and comprehensive care healthcare. End
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