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Featured Mitral Valve Surgery Videos

Featured peer-reviewed, surgical videos in mitral valve surgery

Yazdchi F, Tang GHL, Nguyen TC, Kaneko T. Transcatheter Edge to Edge Mitral Valve Repair (MitraClip) Step by Step Guide. Op Tech Cardiothorac Surg. 2022;27:177-197. https://doi.org/10.1053/j.optechstcvs.2021.12.007

Transcatheter Edge to Edge Mitral Valve Repair

Procedural steps to perform TEER usig MitraClip device are demonstrated in a brief video. These steps include preoperative assessment and planning using TEE images, transseptal access to mitral valve, introducing transseptal sheath, steerable guide catheter (SGC), and clip delivery system (CDS), crossing the mitral valve, grasping the leaflets in desired location, and deployment.

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Dreyfus GD, Dulguerov F, Marcacci C, Rahman Haley S, Gkouma A, Dommerc C, et al. “Respect when you can, resect when you should”: A realistic approach to posterior leaflet mitral valve repair. J Thorac Cardiovasc Surg. 2018;156:1856-1866. https://doi.org/10.1016/j.jtcvs.2018.05.017

realistic approach to posterior leaflet mitral valve repair

Surgical strategy. Excess height, excess width, and prolapse are analyzed and treated separately.

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Coyan G, Wei LM, Althouse A, Roberts HG, Schauble D, Murashita T, et al. Robotic mitral valve operations by experienced surgeons are cost-neutral and durable at 1 year. J Thorac Cardiovasc Surg. 2018;156:1040-1047. https://doi.org/10.1016/j.jtcvs.2018.03.147

Robotic mitral valve operations by experienced surgeons: cost-neutral and durable

Dr. Vinay Badhwar summarizes the study and explains its relevance while reviewing one of the robotic mitral valve repair cases performed during the study period.

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McCarthy PM, Herborn J, Kruse J, Liu M, Andrei A-C, Thomas JD. A multiparameter algorithm to guide repair of degenerative mitral regurgitation. J Thorac Cardiovasc Surg. 2022;164:867-876. https://doi.org/10.1016/j.jtcvs.2020.09.129

multiparameter algorithm to guide repair of degenerative mitral regurgitation

Dr. McCarthy discusses steps of the mitral repair algorithm.

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D'Angelo MP, Brener M, George I. Open Trans-Catheter Mitral Valve Replacement for Mitral Annular Calcification. Op Tech Cardiothorac Surg. 2021;26:246-256. https://doi.org/10.1053/j.optechstcvs.2021.06.004

Open Trans-Catheter MV Replacement for Mitral Annular Calcification

Description of an open trans-atrial implantation of a balloon expandable transcatheter heart valve.

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Meidan TG, Lanfear AT, Squiers JJ, Hamandi M, Lytle BW, DiMaio JM et al. Robotic mitral valve surgery after prior sternotomy. J Thorac Cardiovasc Surg Tech. 2022;13:46-51. https://doi.org/10.1016/j.xjtc.2022.01.023

Robotic mitral valve surgery after prior sternotomy

Dr. Robert L. Smith using a robotic approach to perform a redo mitral valve repair with excision of a dehisced prior annuloplasty ring.

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Iacona GM, Ali SO, Unai S, Harb SC, Pettersson GB. Mitral valve replacement in patients with severe mitral calcification. J Thorac Cardiovasc Surg Tech. 2022;11:7-9. https://doi.org/10.1016/j.xjtc.2021.11.001

Mitral valve replacement in patients with severe mitral calcification

Mitral annular calcification (MAC) is a chronic degenerative process in the fibrous base of the mitral valve complicating mitral valve surgery. We present a case of mitral valve replacement (MVR) with severe MAC approached with the patch technique.

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Burns DJP, Suri RM, Gillinov AM. Targeted triangular resection for repair of degenerative mitral valve disease. J Thorac Cardiovasc Surg Tech. 2021;10:47-52. https://doi.org/10.1016/j.xjtc.2021.09.049

Targeted triangular resection for repair of degenerative mitral valve disease

Triangular resection with reconstruction using interrupted sutures.

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Sotolongo A, Bin Mahmood SU, Vaccaro B, Geirsson A. Mitral valve repair using adjustable posterior leaflet neochords. J Thorac Cardiovasc Surg Tech. 2020;2:50-54. https://doi.org/10.1016/j.xjtc.2020.02.013

Mitral valve repair using adjustable posterior leaflet neochords

Surgical technique demonstrating use of adjustable Goretex neochord for posterior leaflet prolapse.

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