Minimally Invasive Approach for Mitral Valve Repair in a Patient With Prior Pentalogy of Fallot Repair

2012 ◽  
Vol 24 (2) ◽  
pp. 144-145
Author(s):  
Pey-Jen Yu ◽  
Aubrey C. Galloway
Keyword(s):  
Mitral Valve ◽  
Minimally Invasive ◽  
Mitral Valve Repair ◽  
Valve Repair ◽  
Minimally Invasive Approach ◽  
Invasive Approach

Stepwise mitral valve repair for Barlow's disease via a minimally invasive approach

2020 ◽  
Vol 35 (7) ◽  
pp. 1471-1476
Author(s):  
Taichi Sakaguchi ◽  
Toshinori Totsugawa ◽  
Akihiro Hayashida ◽  
Masaaki Ryomoto ◽  
Naosumi Sekiya ◽  
...  
Keyword(s):  
Mitral Valve ◽  
Minimally Invasive ◽  
Mitral Valve Repair ◽  
Valve Repair ◽  
Minimally Invasive Approach ◽  
Invasive Approach ◽  
Barlow’S Disease

scholarly journals An 86-Year-Old Female with Mitral Regurgitation and Significant Pectus Excavatum

2019 ◽  
Vol 08 (01) ◽  
pp. e37-e40
Author(s):  
Raphael Tasar ◽  
Sophie Tkebuchava ◽  
Mahmoud Diab ◽  
Torsten Doenst
Keyword(s):  
Mitral Valve ◽  
Mitral Regurgitation ◽  
Minimally Invasive ◽  
Pectus Excavatum ◽  
Heart Team ◽  
Case Description ◽  
Valve Repair ◽  
Minimally Invasive Approach ◽  
Invasive Approach ◽  
Surgical Access

Abstract Background We report the case of minimally invasive mitral valve repair in an 86-year-old female with symptomatic structural mitral regurgitation and severe pectus excavatum. Case Description The case summarizes four areas of repetitive heart team discussions. First, should an 86-year-old patient still be treated invasively? Second, if so, should treatment be interventional or surgical? Third, if surgical, should we replace or repair at that age and fourth which surgical access is best with respect to her chest deformation? Conclusion We chose to surgically repair the valve using a minimally invasive approach. The patient was extubated 3 hours after surgery and discharged after 7 days.

Robotic Multisegment Triangular Resections as an Alternative to Sliding Leaflet Plasty

2013 ◽  
Vol 8 (3) ◽  
pp. 237-241
Author(s):  
Faisal H. Cheema ◽  
Stephen Cheung ◽  
Jeffrey Jiang ◽  
Muhammad Jabran Younus ◽  
Harold G. Roberts
Keyword(s):  
Mitral Valve ◽  
Minimally Invasive ◽  
Posterior Leaflet ◽  
Mitral Leaflet ◽  
Valve Repair ◽  
Minimally Invasive Approach ◽  
Invasive Approach ◽  
Posterior Mitral Leaflet ◽  
Simple Alternative ◽  
Complex Procedure

The sliding leaflet plasty of the posterior mitral leaflet is a complex procedure, both lengthy and technically challenging. A simple alternative is desirable, particularly for a minimally invasive approach. We report a distinct substitute to the conventional sliding leaflet plasty that included triangular resections of P2 and P3 using a robot. These multiple triangular resections enabled a successful mitral valve repair with satisfactory clinical and echocardiographic results. Recognizing the complexity of sliding leaflet plasties, we note that multisegment triangular resections seem to be an easy, expeditious, and effective alternative for the posterior leaflet that is readily performed via a robotic endoscopic approach.

scholarly journals Transapical Off-Pump Neochord Implantation in Case of Severe Mitral Regurgitation

2016 ◽  
Vol 16 (2) ◽  
pp. 28-30
Author(s):  
Uldis Strazdins ◽  
Gvido Janis Bergs ◽  
Martins Kalejs ◽  
Indra Vilumsone
Keyword(s):  
Mitral Valve ◽  
Mitral Regurgitation ◽  
Minimally Invasive ◽  
Invasive Procedure ◽  
Valve Repair ◽  
Minimally Invasive Approach ◽  
Invasive Approach ◽  
Off Pump ◽  
Significant Clinical Improvement ◽  
Artificial Chordae

SummaryMitral regurgitation is common valvular heart disease and a major cause of congestive heart failure and death. It is most often associated with degenerative changes in mitral valve which leads to valve prolapse. Transapical off-pump mitral valve repair is a new minimally invasive procedure to treat mitral regurgitation. Here we report 64-year old female who suffered from grade III mitral regurgitation due to ruptured chorda and posterior leaflet P2/P3 segment prolapse. During surgery 4 artificial chordae were implanted and postoperative echocardiography results showed minimal residual grade I mitral regurgitation, therefore significant clinical improvement can be achieved with minimally invasive approach.

scholarly journals DL-based segmentation of endoscopic scenes for mitral valve repair

2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Matthias Ivantsits ◽  
Lennart Tautz ◽  
Simon Sündermann ◽  
Isaac Wamala ◽  
Jörg Kempfert ◽  
...  
Keyword(s):  
Mitral Valve ◽  
Minimally Invasive ◽  
Mitral Valve Repair ◽  
Video Stream ◽  
Field Of View ◽  
Valve Repair ◽  
Distance Measurements ◽  
Anatomical Structures ◽  
Endoscopic Video ◽  
Camera Position

AbstractMinimally invasive surgery is increasingly utilized for mitral valve repair and replacement. The intervention is performed with an endoscopic field of view on the arrested heart. Extracting the necessary information from the live endoscopic video stream is challenging due to the moving camera position, the high variability of defects, and occlusion of structures by instruments. During such minimally invasive interventions there is no time to segment regions of interest manually. We propose a real-time-capable deep-learning-based approach to detect and segment the relevant anatomical structures and instruments. For the universal deployment of the proposed solution, we evaluate them on pixel accuracy as well as distance measurements of the detected contours. The U-Net, Google’s DeepLab v3, and the Obelisk-Net models are cross-validated, with DeepLab showing superior results in pixel accuracy and distance measurements.

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