Randy Martin, MD, Piedmont Heart in Atlanta, Georgia, moderates a lively discussion on mitral valve repair.The panel’s discussion moves from evolving concepts of FMR repair and replacement to tricuspid valve repair and access routes, and touches on pathways to TCV mitral.
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Mitral valve disease
November 20, 2014
301 pts with CAD required revascularization and moderate MR were randomly assigned to CABG or CABG with MV repair. The outcome was LV end-systolic index at 1 year. MV repair contributed to longer pump times, longer hospitalization, and more neurologic events. MV repair did not result in an improved primary outcome at 1 year, but was associated wit
November 7, 2014
The Cardiothoracic Surgical Trials Network recently reported that a third of patients after mitral valve repair for ischemic MR developed at least moderate recurrent MR at 1 year following surgery. This begs the question as to which patients with ischemic MR would benefit from repair vs. replacement.
November 5, 2014
The authors explored readmission rates for heart failure after MV repair/replacement in the US Medicare population as a means for assessing quality. The preop heart failure rate in this population was 61%. Readmission rates were 25% at 30 days and 78% at 5 years; they were substantially higher for those with preop heart failure and were higher for
October 28, 2014
Retrospective study on 102 consecutive asymptomatic or mildly symptomatic patients with no left ventricular dysfunction and with degenerative mitral regurgitation (MR) who underwent mitral valve surgery in three centers.
October 23, 2014
Hugo Vanermen of the University of Leuven, Belgium, discusses an operative video demonstrating a minimally invasive mitral valve repair of a bi-leaflet prolapse.
October 16, 2014
This video incorporates both a discussion of mitral annular calcification (MAC) and a narrated operative portion detailing the techniques of handling MAC.
October 9, 2014
October 9, 2014
This study demonstrates the basic concepts and technique of robotic mitral valve replacement for valve pathologies that are not suitable for repair. Among this group of patients, robotic surgery is still feasible with some technical differences from a standard robotic mitral valve repair procedure.
September 29, 2014
This video contains a brief presentation on a patient with a previous failed mitral repair, and then a narrated operative video demonstrating the steps of the mitral valve replacement.