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Endo-Aortic Balloon Occlusion Versus Transthoracic Clamping in Minimally Invasive Mitral Valve Surgery

Tuesday, December 30, 2025

Submitted by

EACTS Staff

Source

Source Name: European Journal of Cardio-Thoracic Surgery

Source URL: https://academic.oup.com/ejcts/article-abstract/67/9/ezaf258/8241963?redirectedF…

Author(s)

Markus Kofler, Paolo Berretta, Nikolaos Bonaros, Giovanni Domenico Cresce, Mauro Rinaldi, Antonios Pitsis, Tom C Nguyen, Torsten Doenst, Manuel Wilbring, Marc Gerdisch, Joseph Lamelas, Frank Van Praet, Tristan Yan, Davide Pacini, Antonio Fiore, Nguyen Hoang Dinh, Pierluigi Stefano, Jörg Kempfert, Marco Di Eusanio

This study from the Mini-Mitral International Registry (2015-2021) compared endo-aortic balloon occlusion (EABO) to transthoracic clamping (TTC) in minimally invasive mitral valve surgery. After propensity matching 733 pairs from 6,884 patients, EABO showed significantly lower rates of conversion to sternotomy, although it was associated with longer cardiopulmonary and intubation times. Mortality, stroke, bleeding, vascular complications, ICU stay, and hospital length were similar between the groups. The authors concluded that both techniques are excellent options, but EABO reduces sternotomy conversion rates.