Intraoperative assessment of mitral valve repair: Validation of the saline test with nonresectional repair techniques

2019 ◽  
Vol 34 (10) ◽  
pp. 965-968
Author(s):  
Raphaelle A. Chemtob ◽  
Per Wierup ◽  
Stephanie L. Mick ◽  
A. Marc Gillinov
Keyword(s):  
Mitral Valve ◽  
Mitral Valve Repair ◽  
Valve Repair ◽  
Intraoperative Assessment ◽  
Saline Test ◽  
Repair Techniques

Unusual interatrial membrane in the left atrium: A newer obstacle for transseptal-based percutaneous mitral valve repair techniques?

2017 ◽  
Vol 34 (9) ◽  
pp. 1379-1381
Author(s):  
Antonio Popolo Rubbio ◽  
Sarah Mangiafico ◽  
Salvatore Scandura ◽  
Sergio Buccheri ◽  
Marco Barbanti ◽  
...  
Keyword(s):  
Mitral Valve ◽  
Left Atrium ◽  
Mitral Valve Repair ◽  
Valve Repair ◽  
Percutaneous Mitral Valve Repair ◽  
Repair Techniques

scholarly journals A Dynamic Heart System to Facilitate the Development of Mitral Valve Repair Techniques

2009 ◽  
Vol 37 (4) ◽  
pp. 651-660 ◽  
Author(s):  
Andrew L. Richards ◽  
Richard C. Cook ◽  
Gil Bolotin ◽  
Gregory D. Buckner
Keyword(s):  
Mitral Valve ◽  
Mitral Valve Repair ◽  
Valve Repair ◽  
Repair Techniques

scholarly journals Mitral Valve Replacement—Current and Future Perspectives

2017 ◽  
Vol 9 ◽  
pp. 117906521771902 ◽  
Author(s):  
Johan van der Merwe ◽  
Filip Casselman
Keyword(s):  
Mitral Valve ◽  
Valve Replacement ◽  
Mitral Valve Replacement ◽  
Mitral Valve Repair ◽  
Mitral Valve Surgery ◽  
Future Perspectives ◽  
Valve Repair ◽  
Experimental Approaches ◽  
Repair Techniques

The favorable outcomes achieved with modern mitral valve repair techniques redefined the role of mitral valve replacement. Various international databases report a significant decrease in replacement procedures performed compared with repairs, and contemporary guidelines limit the application of surgical mitral valve replacement to pathology in which durable repair is unlikely to be achieved. The progressive paradigm shift toward endoscopic and robotic mitral valve surgery is also paralleled by rapid developments in transcatheter devices, which is progressively expanding from experimental approaches to becoming clinical reality. This article outlines the current role and future perspectives of contemporary surgical mitral valve replacement within the context of mitral valve repair and the dynamic evolution of exciting transcatheter alternatives.

scholarly journals Ring-first Mitral Valve Repair

2020 ◽  
Vol 6 ◽  
Author(s):  
Marco Cirillo
Keyword(s):  
Mitral Valve ◽  
Mitral Valve Repair ◽  
Surgical Reconstruction ◽  
Valve Repair ◽  
Residual Stenosis ◽  
Geometrical Arrangement ◽  
Mitral Repair ◽  
Ring Annuloplasty ◽  
Residual Tissue ◽  
Repair Techniques

Mitral valve repair is one of the most frequent interventions in cardiac surgery. It involves eliminating the dysfunctional part(s) of the mitral valve and reconstructing, using the residual tissue or with the addition of prosthetic components, a properly functioning valve, without residual stenosis or regurgitation. A fundamental component of mitral repair is the implantation of a ring (annuloplasty) which reconstitutes the normal, saddle-shaped geometry of the valve. Such ring is usually implanted at the end of the surgical reconstruction regardless of the repair techniques. The implantation of the ring can however change the final anatomy of the valve in an unexpected way and therefore force new corrective surgical actions. We therefore propose a research project that plans the execution of annuloplasty as the first surgical step and then the correction of the valvular disease affecting the leaflets and chordae. The sizing of the ring is always performed on parts of the valve that are usually not changed during the reconstructive surgery, therefore it is possible to decide its size before surgically correcting the valve. In this way we could act on the leaflets and chordae in the definitive geometrical arrangement of the mitral valve.

Intraoperative Assessment of Mitral Valve Area After Mitral Valve Repair: Comparison of Different Methods

2011 ◽  
Vol 25 (2) ◽  
pp. 221-228 ◽  
Author(s):  
Andrew Maslow ◽  
Anthony Gemignani ◽  
Arun Singh ◽  
Feroze Mahmood ◽  
Athena Poppas
Keyword(s):  
Mitral Valve ◽  
Mitral Valve Repair ◽  
Valve Repair ◽  
Mitral Valve Area ◽  
Intraoperative Assessment ◽  
Valve Area

scholarly journals Mitral Valve Repair Techniques With Neochords: When Sizing Matters

2020 ◽  
Vol 15 (1) ◽  
pp. 22-25
Author(s):  
Lorenzo Di Bacco ◽  
Antonio Miceli ◽  
Mattia Glauber
Keyword(s):  
Mitral Valve ◽  
Mitral Valve Repair ◽  
Valve Repair ◽  
Annuloplasty Ring ◽  
Over Time ◽  
Repair Techniques

Mitral valve (MV) repair procedures have evolved over time and multiple approaches have been proposed also for the repair with neochords implantation. This article compiles the currently available approaches for implanting and sizing neochords, to restore a proper coaptation of the MV leaflets and a good systo-dyastolic movement. The described techniques are aimed at standardizing chordal measurement, in order to reduce variability in chordal length. The placement of annuloplasty ring before chordae implantation should be avoided. Regardless of the technique chosen, it is important that the implanted chordae do not interfere with normal native chordae, to avoid the risk that neochordae may heal together or get damaged. This article aims to give an overview of the most common sizing techniques available.

scholarly journals String Music: Creating Coronary Artery and other Vascular Anastomoses

2018 ◽  
Vol 21 (6) ◽  
pp. E497-E506
Author(s):  
Curtis G Tribble ◽  
Stephen Derryberry
Keyword(s):  
Coronary Artery ◽  
Mitral Valve ◽  
Coronary Artery Bypass ◽  
Mitral Valve Repair ◽  
Artery Bypass ◽  
Valve Repair ◽  
String Music ◽  
Anastomotic Techniques ◽  
Repair Techniques

This initial version of this treatise was written as I (Curt Tribble) was learning to do coronary anastomoses over 30 years ago, and I worried that I was not being taught very well how go about it doing them. It seemed to me that my teachers were channeling Dr. Alain Carpentier, who often answered questions about his mitral valve repair techniques by saying, “Oh, you just know.” These frustrations were compounded by the fact that the best cardiovascular techniques books, including even those texts dedicated to coronary artery bypass techniques, did not describe these anastomotic techniques in detail, which remains the case to the present day [Kaiser 2007; Copeland 1986].

Evaluation of Skill-Acquisition Process in Mitral Valve Repair Techniques: A Simulation-Based Study

2013 ◽  
Vol 70 (3) ◽  
pp. 318-325 ◽  
Author(s):  
Murat Tavlasoglu ◽  
Ahmet Baris Durukan ◽  
Zekeriya Arslan ◽  
Mustafa Kurkluoglu ◽  
Anar Amrahov ◽  
...  
Keyword(s):  
Mitral Valve ◽  
Mitral Valve Repair ◽  
Skill Acquisition ◽  
Valve Repair ◽  
Acquisition Process ◽  
Simulation Based ◽  
Repair Techniques
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