Song Wan of the Chinese University of Hong Kong and Rüdiger Lange of the German Heart Center share their opinions on current and future trends in mitral valve repair. Tom Nguyen of the University of Texas Health Science Center moderates this discussion, which focuses on the evolution of patient profiles and surgical techniques.
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Mitral valve disease
May 31, 2017
May 2, 2017
This video demonstrates the periareolar approach to mitral valve repair in a 52-year-old patient with A2 prolapse and severe, symptomatic mitral regurgitation.
April 18, 2017
The type and extent of mitral valve remodeling in response to ischemic mitral regurgitation may predict success/recurrence after mitral valve repair. The authors collected 3-dimensional data from patients with ischemic MR and from patients with normal valves and analyzed the data geometrically. Remodeling was identified by lengthening of the middle
April 10, 2017
This video demonstrates a "hemi-commando" procedure in a 64-year-old female patient with aortic root abscess involving the intervalvular fibrosa.
March 29, 2017
Steven Livesey of Southampton General Hospital, Southampton, UK, discusses the anatomy of Barlow's mitral valve and the options for correction.
March 13, 2017
This video illustrates robotic repair of mitral commissural endocarditis using a novel “bridging patch” technique.
February 27, 2017
This video demonstrates a technique for performing aortic and mitral valve replacements simultaneously through a partial sternotomy with an excellent exposure of the corresponding anatomical structures.
February 1, 2017
Joseph Zacharias of the Lancashire Cardiac Centre, Blackpool, UK, gives an overview of the use of ablation for atrial fibrillation in minimally invasive mitral valve surgery.
January 28, 2017
Mitral valve surgery complicated by atrioventricular groove disruption has a high mortality rate. The authors describe results of an external repair for this injury, directly suturing the atrioventricular groove. In a 20-year experience involving over 3,000 mitral valve operations, 13 such injuries occurred. 30-day and hospital mortality were 15%
January 27, 2017
Results are reported of a global feasibility study in which 30 patients at high risk for mitral valve surgery were enrolled at 8 study sites. Patients underwent transapical mitral valve replacement with a Tendyne transcatheter mitral valve. A mitral prosthesis was successfully implanted in 93%.