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.

Mitral Valve Repair for Congenital Mitral Valve Disease: Impact of the Use of a Biodegradable Annuloplasty Ring

2015 ◽  
Vol 99 (3) ◽  
pp. 884-890 ◽  
Author(s):  
Mohd. Azhari Yakub ◽  
Sivakumar Sivalingam ◽  
Jeswant Dillon ◽  
Minoru Matsuhama ◽  
Haifa Abdul Latiff ◽  
...  
Keyword(s):  
Mitral Valve ◽  
Mitral Valve Repair ◽  
Mitral Valve Disease ◽  
Valve Disease ◽  
Valve Repair ◽  
Annuloplasty Ring ◽  
Disease Impact ◽  
Congenital Mitral Valve Disease

Midterm Results of Mitral Valve Repair: Closed Versus Open Annuloplasty Ring

2010 ◽  
Vol 90 (2) ◽  
pp. 489-495 ◽  
Author(s):  
Dan Spiegelstein ◽  
Yaron Moshkovitz ◽  
Leonid Sternik ◽  
Micha S. Fienberg ◽  
Alexander Kogan ◽  
...  
Keyword(s):  
Mitral Valve ◽  
Mitral Valve Repair ◽  
Valve Repair ◽  
Midterm Results ◽  
Annuloplasty Ring

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 Catheter-Based Edge-to-Edge Mitral Valve Repair After Partial Rupture of Surgical Annuloplasty Ring

2015 ◽  
Vol 8 (15) ◽  
pp. e263-e264 ◽  
Author(s):  
Felipe C. Fuchs ◽  
Christoph Hammerstingl ◽  
Nikos Werner ◽  
Eberhard Grube ◽  
Georg Nickenig
Keyword(s):  
Mitral Valve ◽  
Mitral Valve Repair ◽  
Partial Rupture ◽  
Valve Repair ◽  
Annuloplasty Ring

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.

Mitral valve repair after annuloplasty ring dehiscence using MitraClip

2015 ◽  
Vol 88 (2) ◽  
pp. 301-306 ◽  
Author(s):  
Ivan D. Hanson ◽  
George S. Hanzel ◽  
Francis L. Shannon
Keyword(s):  
Mitral Valve ◽  
Mitral Valve Repair ◽  
Valve Repair ◽  
Annuloplasty Ring

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.

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