scholarly journals Annuloplasty for mitral valve repair in degenerative disease: to be flexible or to be rigid? That’s still the question

2020 ◽  
Vol 36 (6) ◽  
pp. 563-565
Author(s):  
Vito Domenico Bruno ◽  
Ettorino Di Tommaso ◽  
Raimondo Ascione
Keyword(s):  
Mitral Valve ◽  
Mitral Valve Repair ◽  
Degenerative Disease ◽  
Valve Repair ◽  
Different Types ◽  
The Right

Abstract The choice of ring for mitral valve repair is still largely left to the surgeon's preferences and there are no specific guidelines regulating this decision. Despite this previous researches have described important features appertaining to each of the different types of rings currently available. Particularly, the debate is still open in regards to the flexibility that these devices should or should not have. Later in this issue of the Journal, Panicker and colleagues have reported their results with flexible and rigid rings in mitral valve repair. The results are very interesting and once again are highlighting the importance of using the right ring for the right disease.

scholarly journals Late Outcomes of Mitral Valve Repair for Mitral Regurgitation Due to Degenerative Disease

Circulation ◽  
2013 ◽  
Vol 127 (14) ◽  
pp. 1485-1492 ◽  
Author(s):  
Tirone E. David ◽  
Susan Armstrong ◽  
Brian W. McCrindle ◽  
Cedric Manlhiot
Keyword(s):  
Mitral Valve ◽  
Mitral Regurgitation ◽  
Mitral Valve Repair ◽  
Degenerative Disease ◽  
Valve Repair

scholarly journals Second cross-clamping after mitral valve repair for degenerative disease in contemporary practice†

2018 ◽  
Vol 54 (1) ◽  
pp. 91-97 ◽  
Author(s):  
Michele De Bonis ◽  
Elisabetta Lapenna ◽  
Ilaria Giambuzzi ◽  
Roberta Meneghin ◽  
Giovanni Affronti ◽  
...  
Keyword(s):  
Mitral Valve ◽  
Mitral Valve Repair ◽  
Degenerative Disease ◽  
Valve Repair ◽  
Contemporary Practice

scholarly journals Mitral annulus dynamics in myxomatous mitral valve disease

2021 ◽  
Vol 31 (1) ◽  
pp. 66-75
Author(s):  
Maria-Magdalena Gurzun ◽  
Monica Rosca ◽  
Andreea Calin ◽  
Carmen Beladan ◽  
Marinela Serban ◽  
...  
Keyword(s):  
Mitral Valve ◽  
Mitral Regurgitation ◽  
Mitral Valve Repair ◽  
Mitral Valve Disease ◽  
Current Trend ◽  
Mitral Annulus ◽  
Valve Disease ◽  
Valve Repair ◽  
Functional Changes ◽  
Different Types

Myxomatous mitral valve disease (MVD) is a common disorder in which the entire mitral valve apparatus seems to be involved. Mitral valve repair is nowadays the method of choice for the correction of mitral regurgitation but the optimal shape and flexibility of the annuloplasty ring remain controversial. Considering that myxomatous MVD covers a wide spectrum from limited fi bro-elastic deficiency to extensive Barlow disease, we presume that the mitral annulus morphological and functional changes are likely different in different types of myxomatous MVD. We analyze the 3-dimensional geometry and the dynamics of the mitral annulus in 110 patients with significant mitral regurgitation due to different types of myxomatous mitral valve disease and 40 normal subjects using 3D transesophageal echocardiography. The mitral annulus differs in patients with limited MVD, extensive MVD and in normal controls in terms of size, shape, and dynamics. Patients with limited MVD have larger, flatter, dysfunctional and more mobile mitral annulus compared to normal, while patients with extensive MVD have even larger, fl atter and more dysfunctional mitral annulus, with reduced mobility. The non-planar dynamics has different patterns during systole, according to the extension of MV disease. Our data may be important for the appropriate choose of annuloplasty mitral annulus in mitral valve repair, the current trend being to choose the ring according to the underlying pathology.

Edge-to-edge mitral valve repair for isolated prolapse of the anterior leaflet caused by degenerative disease

2007 ◽  
Vol 8 (5) ◽  
pp. 354-358 ◽  
Author(s):  
Carlo Fucci ◽  
Giuseppe De Cicco ◽  
Ermanna Chiari ◽  
Matilde Nardi ◽  
Pompilio Faggiano ◽  
...  
Keyword(s):  
Mitral Valve ◽  
Mitral Valve Repair ◽  
Degenerative Disease ◽  
Anterior Leaflet ◽  
Valve Repair

Late Echocardiographic and Clinical Outcomes after Mitral Valve Repair for Degenerative Disease

2010 ◽  
Vol 25 (1) ◽  
pp. 9-15 ◽  
Author(s):  
Louis-Mathieu Stevens ◽  
Arsène-Joseph Basmadjian ◽  
Denis Bouchard ◽  
Ismaïl El-Hamamsy ◽  
Philippe Demers ◽  
...  
Keyword(s):  
Mitral Valve ◽  
Clinical Outcomes ◽  
Mitral Valve Repair ◽  
Degenerative Disease ◽  
Valve Repair

Robotic Mitral Valve Repair for Simple and Complex Degenerative Disease

Circulation ◽  
2015 ◽  
Vol 132 (21) ◽  
pp. 1961-1968 ◽  
Author(s):  
Rakesh M. Suri ◽  
Amit Taggarse ◽  
Harold M. Burkhart ◽  
Richard C. Daly ◽  
William Mauermann ◽  
...  
Keyword(s):  
Mitral Valve ◽  
Mitral Valve Repair ◽  
Degenerative Disease ◽  
Valve Repair

Reoperation for Failure of Mitral Valve Repair in Degenerative Disease: A Single-Center Experience

2008 ◽  
Vol 86 (5) ◽  
pp. 1480-1484 ◽  
Author(s):  
Rachid Zegdi ◽  
Ghassan Sleilaty ◽  
Christian Latrémouille ◽  
Alain Berrebi ◽  
Alain Carpentier ◽  
...  
Keyword(s):  
Mitral Valve ◽  
Mitral Valve Repair ◽  
Degenerative Disease ◽  
Single Center ◽  
Valve Repair ◽  
Single Center Experience

A simple technique of artificial chordae implantation in robotic cardiac surgery using a novel tube device supporting expanded polytetrafluoroethylene chordae ligation

2020 ◽  
Author(s):  
Takeo Tedoriya ◽  
Ryoi Okano ◽  
Masaomi Fukuzumi ◽  
Tadamasa Miyauchi
Keyword(s):  
Mitral Valve ◽  
Mitral Valve Repair ◽  
Simple Technique ◽  
Valve Repair ◽  
Expanded Polytetrafluoroethylene ◽  
Novel Device ◽  
Robotic Cardiac Surgery ◽  
Artificial Chordae ◽  
The Right ◽  
Mitral Surgery

Abstract Artificial chordae implantation is an important technique for treating leaflet lesions in mitral valve repair. Considering that the expanded polytetrafluoroethylene (ePTFE) suture is slippery on the surface, adequate ligation without laxity should be critically considered, especially in robotic surgery. To resolve this issue, we applied a novel device that controls the length of an ePTFE suture (Chordarizer) for artificial chordae implantation in robotic mitral valve repair. After assessing the mitral valve via the right side of the left atrium, we stitched a CV-4 ePTFE suture to the target papillary muscle. Using a calliper, we measured the length of the artificial chordae and passed the CV-4 through the appropriate Chordarizer. Then, we stitched the CV-4 to the tip of the leaflet from the left ventricle side and tied it using da Vinci arms. Finally, the Chordarizer was peeled away. Chordarizer ensured safe and reliable artificial chordae implantation procedures with robotic mitral surgery, by maintaining the desired CV4 length.

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