Papillary muscle reorientation for systolic anterior motion after mitral valve repair

Author(s):  
Taichi Sakaguchi ◽  
Arudo Hiraoka ◽  
Masaaki Ryomoto ◽  
Naosumi Sekiya ◽  
Hiroe Tanaka ◽  
...  
Author(s):  
Burak Onan ◽  
Ersin Kadirogullari ◽  
Zeynep Kahraman ◽  
Onur Sen

Bulging subaortic septum in hypertrophic cardiomyopathy is a potential risk factor for systolic anterior motion after mitral valve repair. Systolic anterior motion may cause postoperative mitral regurgitation and left ventricular outflow tract obstruction despite conservative management. During “minimally invasive endoscopic” and “robotic” mitral repair procedures, systolic anterior motion is prevented with concomitant septal myectomy through the mitral valve orifice. Technically, the exposure of the bulging subaortic septum is traditionally done with detachment of the anterior mitral leaflet from its annulus, leaving a 2-mm rim of leaflet attached to the annulus. The leaflet is then sutured after myectomy. As an alternative technique in robotic surgery, the exposure of the subaortic septum is feasible without anterior leaflet incision with the use of dynamic atrial retractor in mitral repair procedures. Here, we present a patient who underwent concomitant robotic mitral valve repair with posterior chordal implantation, ring annuloplasty, and septal myectomy without anterior leaflet incision using the da Vinci surgical system.


2017 ◽  
Vol 32 (11) ◽  
pp. 686-690 ◽  
Author(s):  
Richard Collis ◽  
Oliver Watkinson ◽  
Antonis Pantazis ◽  
Maria Tome-Esteban ◽  
Perry M. Elliott ◽  
...  

1988 ◽  
Vol 9 (9) ◽  
pp. 1030-1033 ◽  
Author(s):  
S. AL KASAB ◽  
S. WESTABY ◽  
M. A. AL ZAIBAG ◽  
M. HABBAB ◽  
K. A. GUNAWARDENA ◽  
...  

2020 ◽  
Vol 35 (11) ◽  
pp. 3120-3124
Author(s):  
Ashok Kumar C J ◽  
A. Marc Gillinov ◽  
Nicholas G. Smedira ◽  
Kevin Hodges ◽  
Daniel J. P. Burns ◽  
...  

2012 ◽  
Vol 143 (4) ◽  
pp. S2-S7 ◽  
Author(s):  
Robin Varghese ◽  
Anelechi C. Anyanwu ◽  
Shinobu Itagaki ◽  
Federico Milla ◽  
Javier Castillo ◽  
...  

2011 ◽  
Vol 14 (2) ◽  
pp. 85 ◽  
Author(s):  
Landoni Giovanni ◽  
Crescenzi Giuseppe ◽  
Zangrillo Alberto ◽  
Nicolotti Davide ◽  
Bignami Elena ◽  
...  

2013 ◽  
Vol 146 (2) ◽  
pp. 291-295.e1 ◽  
Author(s):  
Susumu Manabe ◽  
Hitoshi Kasegawa ◽  
Toshihiro Fukui ◽  
Minoru Tabata ◽  
Tomohiro Shinozaki ◽  
...  

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