Surgical antegrade transcatheter valve implantation and heavily calcified heart

2018 ◽  
Vol 26 (6) ◽  
pp. 470-472
Author(s):  
Elise Lupon ◽  
Anais Lemaire ◽  
Christophe Cron ◽  
Bertrand Marcheix
Keyword(s):  
Mitral Valve ◽  
Heart Surgery ◽  
Median Sternotomy ◽  
Mitral Valve Surgery ◽  
Valve Surgery ◽  
Left Heart ◽  
Mitral Orifice ◽  
Transcatheter Valve ◽  
Valve Implantation ◽  
Severe Calcification

It is well known that a heavily calcified mitral valve significantly increases the perioperative and postoperative risks of mitral valve surgery. A 71-year-old woman was referred to our department with severe mitral valve disease. Cardiac imaging revealed extremely severe calcification of the entire left heart. Surgery was performed through a median sternotomy with standard cardiopulmonary bypass. After dilating the mitral orifice with a balloon, we replaced the valve with a transcatheter Edwards Sapiens 3 aortic valve under direct vision. Seven months after the procedure, the patient was doing well and no longer suffered from dyspnea.

scholarly journals Transcatheter valve-in-valve implantation vs. reoperative mitral valve surgery for failing surgical prosthesis

2021 ◽  
Author(s):  
Francesco Nappi ◽  
Emanuele Verghi ◽  
Sanjeet Singh Avtaar Singh ◽  
Antonio Nenna ◽  
Pierluigi Nappi ◽  
...  
Keyword(s):  
Mitral Valve ◽  
Mitral Valve Surgery ◽  
Valve Surgery ◽  
Valve In Valve ◽  
Transcatheter Valve ◽  
Valve Implantation

scholarly journals Totally endoscopic mitral valve surgery: early experience in 188 patients

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Yi Chen ◽  
Ling-chen Huang ◽  
Dao-zhong Chen ◽  
Liang-wan Chen ◽  
Zi-he Zheng ◽  
...  
Keyword(s):  
Mitral Valve ◽  
Minimally Invasive ◽  
Mitral Valve Disease ◽  
Median Sternotomy ◽  
Mitral Valve Surgery ◽  
Valve Surgery ◽  
Valve Disease ◽  
Endoscopic Technique ◽  
Venous Cannula ◽  
Defect Repair

Abstract Introduction Totally endoscopic technique has been widely used in cardiac surgery, and minimally invasive totally endoscopic mitral valve surgery has been developed as an alternative to median sternotomy for many patients with mitral valve disease. In this study, we describe our experience about a modified minimally invasive totally endoscopic mitral valve surgery and reported the preliminary results of totally endoscopic mitral valve surgery. The aim of this retrospective study is to evaluate the results of totally endoscopic technique in mitral valve surgery. Material and methods We retrospectively reviewed the profiles of 188 patients who were treated for mitral valve disease by modified totally endoscopic mitral valve surgery at our institution between January 2019 and December 2020. The procedure was performed under endoscopic right minithoracotomy and with femoro-femoral cannulation using the single two-stage venous cannula. Results A total of 188 patients underwent total endoscopic mitral valve surgery. Fifty-six patients had concomitant tricuspid valvuloplasty, 11 patients underwent concomitant ablation of atrial fibrillation and atrial septal defect repair was performed in three patients. Only one patient postoperatively died of multi-organ failure. Two patients were converted to median sternotomy. Except for one patient underwent operation to stop the bleeding from the incision site, no other serious complications nor reintervention occurred during the follow-up period. Conclusions The modified totally endoscopic mitral valve surgery performed at our institution is technically feasible and safe with the same efficacy as reported studies.

Robotic mitral valve surgery: how soon will we be moving away from open heart surgery?

2012 ◽  
Vol 8 (6) ◽  
pp. 797-799
Author(s):  
Saina Attaran ◽  
Jon Anderson ◽  
Prakash Punjabi
Keyword(s):  
Mitral Valve ◽  
Heart Surgery ◽  
Open Heart Surgery ◽  
Mitral Valve Surgery ◽  
Valve Surgery ◽  
Open Heart

Spirometric Changes following Open-Heart Surgery on Rheumatic Mitral Valves

1998 ◽  
Vol 6 (1) ◽  
pp. 28-33 ◽  
Author(s):  
Abha Chandra ◽  
Shashi Srivastava ◽  
Dronamraju Dilip
Keyword(s):  
Mitral Valve ◽  
Lung Function ◽  
Vital Capacity ◽  
Heart Surgery ◽  
Open Heart Surgery ◽  
Mitral Valve Surgery ◽  
Valve Surgery ◽  
Cardiothoracic Ratio ◽  
The Mean

Evaluation of pulmonary function by spirometry in adult patients undergoing cardiac surgery is a simple test to assess pulmonary reserve that has important implications in the operative morbidity. Pulmonary function was studied preoperatively, before discharge, and at the 3-month follow-up in 22 randomly selected patients who underwent open-heart surgery for rheumatic mitral valve disease (2 reconstructions, 20 replacements). The mean preoperative cardiothoracic ratio was 0.58. Lung function was found to be impaired preoperatively in all 22 patients and the majority suffered from restrictive lung disease. Better preoperative lung function was seen in nonsmokers, patients with a cardiothoracic ratio of less than 0.50, and those with a normal pulmonary artery pressure. After mitral valve surgery, the mean pulmonary artery pressure was 20.6 ± 2.9 mm Hg, the mean mitral valve pressure gradient was 3.6 ± 2.4 mm Hg, and the mean cardiothoracic ratio was 0.52 ± 0.09. A significant deterioration was seen in the predischarge spirometric values of forced vital capacity, forced expiratory volume in one second, peak expiratory flow rate, flow rate at 25% to 75% of expired vital capacity, and maximum volume ventilation. The deterioration was greater in smokers and those who had prolonged cardiopulmonary bypass (more than 80 minutes). No correlation was found with ventilation because all patients were electively ventilated overnight. There was an overall improvement in spirometric parameters at the 3-month follow-up although the values remained lower than predicted. Spirometry was found to be useful for assessing lung function in patients undergoing mitral valve surgery and we recommended it as a routine test.

scholarly journals Transapical aortic valve implantation after previous mitral valve surgery

2011 ◽  
Vol 142 (1) ◽  
pp. 84-88 ◽  
Author(s):  
Thorsten Drews ◽  
Miralem Pasic ◽  
Semih Buz ◽  
Axel Unbehaun ◽  
Stephan Dreysse ◽  
...  
Keyword(s):  
Mitral Valve ◽  
Aortic Valve ◽  
Mitral Valve Surgery ◽  
Valve Surgery ◽  
Aortic Valve Implantation ◽  
Valve Implantation

scholarly journals Health-Related Quality of Life following Minimally Invasive Totally Thoracoscopic Mitral Valve Surgery

2020 ◽  
Author(s):  
Ling-chen Huang ◽  
Dao-zhong Chen ◽  
Liang-wan Chen ◽  
Qi-chen Xu ◽  
Zi-he Zheng ◽  
...  
Keyword(s):  
Mitral Valve ◽  
Pain Intensity ◽  
Rating Scale ◽  
Median Sternotomy ◽  
Mitral Valve Surgery ◽  
Valve Surgery ◽  
Thoracoscopic Approach ◽  
Aesthetic Appearance ◽  
Related Quality ◽  
Health Related

Abstract Background In order to compare the impact of two different approaches to mitral valve surgery on health-related quality of life, we conducted a retrospective study comparing minimally invasive totally thoracoscopic mitral valve surgery with median sternotomy mitral valve surgery. Methods A total of 163 patients who underwent mitral valve surgery at our institution between January 1, 2019 and December 31, 2019 were enrolled. In 163 patients, mitral valve surgery was performed using either totally thoracoscopic approach (TA n = 78) or median sternotomy approach (SA n = 85). We used the Scar Cosmesis Assessment and Rating Scale and the Numerical Rating Scale to measure the pain intensity and the aesthetic appearance of surgical incision and used the MOS SF-36 to assess the HRQoL. Results The two groups of patients were similar in terms of demographic, echocardiography data and postoperative complications. The pain intensity and aesthetic appearance of the totally thoracoscopic approach were significantly better than that of the median sternotomy approach. Significant differences in the subscale of the SF-36 were found between the two groups. Conclusions When compared to the median sternotomy mitral valve surgery, totally thoracoscopic mitral valve surgery has an equally good outcome, while improving aesthetic appearance and reducing pain intensity. Our study suggested that totally thoracoscopic approach is superior to median sternotomy approach in terms of pain intensity, aesthetic appearance and HRQoL.

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