Robotic totally endoscopic excision of aortic valve papillary fibroelastoma: The least invasive approach

2019 ◽  
Vol 34 (12) ◽  
pp. 1492-1497 ◽  
Author(s):  
Sarah M. Nisivaco ◽  
Brooke Patel ◽  
Husam H. Balkhy
Keyword(s):  
Aortic Valve ◽  
Papillary Fibroelastoma ◽  
Invasive Approach ◽  
Endoscopic Excision

Robotic, totally endoscopic excision of mitral valve papillary fibroelastoma

2021 ◽  
Keyword(s):  
Mitral Valve ◽  
Aortic Valve ◽  
Tricuspid Valve ◽  
Benign Tumor ◽  
Pulmonary Valve ◽  
Papillary Fibroelastoma ◽  
Robotic Assisted ◽  
Endoscopic Excision ◽  
Rare Benign Tumor ◽  
Sixth Decade

Papillary fibroelastoma is a rare, benign tumor that affects males more frequently than females and that tends to be diagnosed during the fifth or sixth decade of life. It tends to arise on cardiac valves, with the aortic valve being the most frequent location followed by the mitral valve, the tricuspid valve, and the pulmonary valve. We present the case of a robotic-assisted, totally endoscopic excision of a mitral valve papillary fibroelastoma.

Sutureless aortic valve prosthesis: A fast option for a mini-invasive approach

2012 ◽  
Vol 60 (S 01) ◽  
Author(s):  
G Santarpino ◽  
S Pfeiffer ◽  
M Herold ◽  
T Fischlein
Keyword(s):  
Aortic Valve ◽  
Valve Prosthesis ◽  
Invasive Approach ◽  
Aortic Valve Prosthesis

A new mini invasive approach for aortic valve replacement

2005 ◽  
Vol 53 (S 3) ◽  
Author(s):  
F Siclari ◽  
S Demertzis ◽  
R Trunfio ◽  
R Mauri ◽  
T Cassina
Keyword(s):  
Aortic Valve ◽  
Aortic Valve Replacement ◽  
Valve Replacement ◽  
Invasive Approach

scholarly journals Safe Transcatheter Aortic Valve Replacement in a Patient with a Highly Mobile Aortic Valve Mass

2018 ◽  
Vol 27 (03) ◽  
pp. 174-176
Author(s):  
Brian Agbor-Etang ◽  
Ashis Mukherjee ◽  
Prabhdeep Sethi ◽  
Ramdas Pai
Keyword(s):  
Aortic Valve ◽  
Aortic Valve Replacement ◽  
Valve Replacement ◽  
Transcatheter Aortic Valve Replacement ◽  
Cardiac Valve ◽  
Papillary Fibroelastoma ◽  
Transcatheter Aortic Valve ◽  
Nonsurgical Patient

AbstractSome cardiac valve masses may have embolic potential with worrisome consequences. We describe the dilemmas of and solutions for a highly mobile papillary fibroelastoma on the aortic valve in a nonsurgical patient undergoing transcatheter aortic valve replacement. It was performed safely. The potential strategies to minimize the risk of embolization are discussed.

scholarly journals AORTIC VALVE PAPILLARY FIBROELASTOMA CAUSING RECURRENT CEREBROVASCULAR ACCIDENT

2021 ◽  
Vol 77 (18) ◽  
pp. 2818
Author(s):  
Michael Ahlers ◽  
Vishnu Nair ◽  
David Tehrani ◽  
Pratyaksh K. Srivastava ◽  
Jesse Currier ◽  
...  
Keyword(s):  
Aortic Valve ◽  
Cerebrovascular Accident ◽  
Papillary Fibroelastoma

scholarly journals Papillary fibroelastoma of the aortic valve presenting with myocardial infarction

1995 ◽  
Vol 60 (1) ◽  
pp. 206-208 ◽  
Author(s):  
Friedrich Stefan Eckstein ◽  
Hans-Joachim Schäfers ◽  
Jochen Grote ◽  
Andreas Mügge ◽  
Hans-Georg Borst
Keyword(s):  
Myocardial Infarction ◽  
Aortic Valve ◽  
Papillary Fibroelastoma

Minimally invasive redo aortic valve replacement with a sutureless valve implant

2021 ◽  
Keyword(s):  
Aortic Valve ◽  
Aortic Valve Replacement ◽  
Minimally Invasive ◽  
Valve Replacement ◽  
Valve Prosthesis ◽  
Mechanical Prosthesis ◽  
Invasive Approach ◽  
Replacement Procedure ◽  
Aortic Valve Prosthesis ◽  
Sutureless Valve

Reoperations for a dysfunctional mechanical aortic valve prosthesis are usually performed with a repeat sternotomy. Reopening the chest may be associated with a heart structure tear, bleeding, excessive transfusion, and a possible unfavorable outcome. Experience performing a redo aortic valve replacement with a minimally invasive approach and avoiding lysis of the pericardial adhesions is growing. We describe a redo aortic valve replacement procedure performed because of subvalvular pannus formation in a patient with a mechanical prosthesis. A partial J-shaped hemisternotomy at the 3rd intercostal space was performed; the ascending aorta was exposed and the valve was replaced with a sutureless bioprosthesis. The video tutorial shows the surgical approach, cardiopulmonary bypass solutions, and sutureless valve deployment.

Abstract 16138: Validation of a Non-invasive Approach for the Assessment of Left Ventricular-arterial Coupling Following Transcatheter Aortic Valve Replacement

Circulation ◽  
2020 ◽  
Vol 142 (Suppl_3) ◽  
Author(s):  
Emad Mogadam ◽  
David Shavelle ◽  
Jing Liu ◽  
Gregory Giesler ◽  
Ray Matthews ◽  
...  
Keyword(s):  
Aortic Valve ◽  
Aortic Valve Replacement ◽  
Valve Replacement ◽  
Transcatheter Aortic Valve Replacement ◽  
Systolic Function ◽  
Aortic Pressure ◽  
Left Ventricular ◽  
Arterial Elastance ◽  
Invasive Approach ◽  
Transcatheter Aortic Valve

Introduction: Transcatheter aortic valve replacement (TAVR) is an established treatment for patients with severe, symptomatic aortic stenosis (AS). Ventriculoarterial (LV-arterial) coupling defined as the ratio of total arterial elastance (Ea) to left ventricular end-systolic elastance (Ees) reflects effective cardiac energetics and is a well-accepted index for quantification of LV-arterial coupling. Despite its usefulness, estimating Ees/Ea has technical difficulties. Intrinsic Frequency (IF) method is a noninvasive and single waveform system-based approach for quantification of LV-arterial coupling. The objective of this study was to compare IF variables with Ea/Ees in predicting optimum LV-arterial energetics following TAVR. Method: Twenty-eight patients with severe AS, undergoing TAVR were included. Mean age was 85±4, 53% male with mean ejection fraction 59±6.4. IFs during systole (ω1), diastole (ω2), and total IF variation (Δω=ω1-ω2) were computed from the ascending aortic pressure waveforms at baseline and following TAVR. Ea/Ees was computed using single-beat technique proposed by Takeuchi et al. ( Circulation . 1991;83(1):202-212). Results: There was a significant decrease in Ea/Ees (p<0.001) toward optimum coupling immediately after TAVR (Figure 1a). There was a statistically significant correlation between Ea/Ees and Δω (r= 0.68, p<0.01) (Figure 1b). Conclusion: IF appears to be an accurate and reliable index for quantification of LV-arterial coupling given significant concordance with Ea/Ees. The management of patients with acutely altered hemodynamic states post TAVR can benefit from the assessment of LV-arterial coupling. Since IFs can be measured noninvasively using hand-held devices (e.g. an iPhone), this approach should broaden the clinical applicability of this useful parameter for assessing systolic function, therapeutic response and ventricular-arterial interaction post TAVR.

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