A Novel Minimally Invasive Approach for Surgical Septal Myectomy

2016 ◽  
Vol 32 (11) ◽  
pp. 1340-1347 ◽  
Author(s):  
Amine Mazine ◽  
Aly Ghoneim ◽  
Ismail Bouhout ◽  
William Fortin ◽  
Ilyes Berania ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Minimally Invasive Approach ◽  
Invasive Approach ◽  
Septal Myectomy

scholarly journals A NOVEL MINIMALLY INVASIVE APPROACH FOR SURGICAL SEPTAL MYECTOMY

2014 ◽  
Vol 30 (10) ◽  
pp. S234
Author(s):  
A. Mazine ◽  
A. Ghoneim ◽  
W. Fortin ◽  
J. Lebon ◽  
D. Bouchard
Keyword(s):  
Minimally Invasive ◽  
Minimally Invasive Approach ◽  
Invasive Approach ◽  
Septal Myectomy

scholarly journals Transapical septal myectomy in the beating heart via a minimally invasive approach: a feasibility study in swine

2019 ◽  
Author(s):  
Jing Fang ◽  
Rui Wang ◽  
Hongyun Liu ◽  
Yunshu Su ◽  
Jun Chen ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Hypertrophic Obstructive Cardiomyopathy ◽  
Left Ventricular ◽  
Beating Heart ◽  
Minimally Invasive Approach ◽  
Invasive Approach ◽  
Aortic Cusp ◽  
Septal Myectomy ◽  
Custom Made ◽  
The Right

Abstract OBJECTIVES The aim of this study was to establish an original transapical septal myectomy procedure that can be performed in the beating heart via a minimally invasive approach for the treatment of hypertrophic obstructive cardiomyopathy. METHODS We designed an original intracardiac septum resection device to conduct off-pump septal myectomy in swine. A subxiphoid minithoracotomy was performed to access the apex of the heart. This resection device was inserted into the left ventricular outflow tract of the heart via the apex. The basal anteroseptal myocardium beneath the right aortic cusp was identified using a combination of transoesophageal and transthoracic echocardiography and then resected and collected by the device. RESULTS Six consecutive operations were successfully and accurately performed using the custom-made device under echocardiographic guidance. All pigs survived and appeared to be normal until planned euthanasia 1 week after operation. A 300–700 mg portion of the septal myocardium was resected from the normal swine heart. Echocardiography and electrocardiogram revealed no abnormalities after resection. One exception was the fifth pig, in which mild annular regurgitation of the aortic valve occurred after repetitive resection. Postmortem necropsy demonstrated that all resections were correctly located at the basal anteroseptal septum beneath the right aortic cusp. CONCLUSIONS Our study provides the first proof-of-concept evidence for a novel beating heart transapical septal myectomy procedure, which showed promising translational potential for the treatment of hypertrophic obstructive cardiomyopathy. This procedure would probably reduce operative risks and improve outcomes and reduce the demanding expertise required to perform conventional surgical myectomy.

scholarly journals Minimally Invasive Septal Myectomy for Hypertrophic Obstructive Cardiomyopathy

2017 ◽  
Vol 12 (6) ◽  
pp. 489-492 ◽  
Author(s):  
Farah N. Musharbash ◽  
Matthew R. Schill ◽  
Matthew C. Henn ◽  
Ralph J. Damiano
Keyword(s):  
Surgical Technique ◽  
Minimally Invasive ◽  
Hypertrophic Obstructive Cardiomyopathy ◽  
Minimally Invasive Technique ◽  
Invasive Technique ◽  
Minimally Invasive Approach ◽  
Invasive Approach ◽  
Septal Myectomy ◽  
Patient Preparation ◽  
Clinical Considerations

Surgical septal myectomy is the treatment of choice for patients with symptomatic hypertrophic obstructive cardiomyopathy refractory to medications. This report describes our minimally invasive approach for performing a septal myectomy via a ministernotomy that has been used at our institution for more than a decade. In particular, patient preparation, surgical technique, and clinical considerations are highlighted. Performed properly, this minimally invasive technique is a feasible and effective approach in our experience.

Minimally Invasive Approach for Wilms Tumor Treatment in a Small Child - A Case Report

Urology ◽  
2020 ◽  
Author(s):  
Alexandre Azevedo Ziomkowski ◽  
João Rafael Silva Simões Estrela ◽  
Nilo Jorge Carvalho Leão Barretto ◽  
Nilo César Leão Barretto
Keyword(s):  
Case Report ◽  
Minimally Invasive ◽  
Wilms Tumor ◽  
Small Child ◽  
Tumor Treatment ◽  
Minimally Invasive Approach ◽  
Invasive Approach

A Minimally Invasive Approach for Treatment of Cholesterol Granuloma of the Petrous Apex

2019 ◽  
Author(s):  
Brandon Lucke-Wold ◽  
Maya Fleseriu ◽  
Haley Calcagno ◽  
Timothy Smith ◽  
Joshua Levy ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Petrous Apex ◽  
Cholesterol Granuloma ◽  
Minimally Invasive Approach ◽  
Invasive Approach

Surgical Technique: Papillary Muscle Sling for Functional Mitral Regurgitation during Minimally Invasive Valve Surgery

2013 ◽  
Vol 16 (5) ◽  
pp. E295-E297 ◽  
Author(s):  
Joseph Lamelas ◽  
Christos Mihos ◽  
Orlando Santana
Keyword(s):  
Mitral Regurgitation ◽  
Minimally Invasive ◽  
Median Sternotomy ◽  
Rational Approach ◽  
Functional Mitral Regurgitation ◽  
Minimally Invasive Approach ◽  
Invasive Approach ◽  
Mitral Annuloplasty ◽  
Technical Details ◽  
Mitral Apparatus

In patients with functional mitral regurgitation, the placement of a sling encircling both papillary muscles in conjunction with mitral annuloplasty appears to be a rational approach for surgical correction, because it addresses both the mitral valve and the deformities of the subvalvular mitral apparatus. Reports in the literature that describe the utilization of this technique are few, and mainly involve a median sternotomy approach. The purpose of this communication is to describe the technical details of performing this procedure via a minimally invasive approach.

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