Totally endoscopic aortic valve replacement with concomitant trans-aortic mitral valve repair for mitral regurgitation
Abstract Background Minimally invasive aortic valve procedures through a hemi-sternotomy or a right anterior mini-thoracotomy have gained popularity over the last several years. Totally endoscopic aortic valve replacement (TEAVR) is an innovative and a less invasive (incision-wise) surgical aortic v...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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BMC
2021-10-01
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| Series: | Journal of Cardiothoracic Surgery |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13019-021-01694-6 |
| _version_ | 1831763595310923776 |
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| author | Antonios Pitsis Nikolaos Tsotsolis Harisios Boudoulas Konstantinos Dean Boudoulas |
| author_facet | Antonios Pitsis Nikolaos Tsotsolis Harisios Boudoulas Konstantinos Dean Boudoulas |
| author_sort | Antonios Pitsis |
| collection | DOAJ |
| description | Abstract Background Minimally invasive aortic valve procedures through a hemi-sternotomy or a right anterior mini-thoracotomy have gained popularity over the last several years. Totally endoscopic aortic valve replacement (TEAVR) is an innovative and a less invasive (incision-wise) surgical aortic valve replacement technique. The operative steps of TEAVR have been reported previously from our group. Mitral regurgitation (MR) frequently accompanies aortic valve disease that at times may also require repair. Totally endoscopic surgery in such cases has not been tested. Presentation of the technique We present a surgical technique for a totally endoscopic approach to aortic valve replacement and concomitant mitral valve repair for primary and secondary MR. An aortotomy incision was used avoiding an atriotomy, which results in an increase in cross-clamp (XC) and cardiopulmonary bypass (CPB) times that could be associated with higher mortality and morbidity. Neochords (artificial chordae tendineae) were used for primary MR and an edge-to-edge approach for secondary MR. Conclusion TEAVR and concomitant mitral valve repair can be performed successfully with reasonable XC and CPB times with excellent short-term results. |
| first_indexed | 2024-12-22T05:29:07Z |
| format | Article |
| id | doaj.art-57fbb33d7c4e494c88fa417b7b67c592 |
| institution | Directory Open Access Journal |
| issn | 1749-8090 |
| language | English |
| last_indexed | 2024-12-22T05:29:07Z |
| publishDate | 2021-10-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Cardiothoracic Surgery |
| spelling | doaj.art-57fbb33d7c4e494c88fa417b7b67c5922022-12-21T18:37:30ZengBMCJournal of Cardiothoracic Surgery1749-80902021-10-011611510.1186/s13019-021-01694-6Totally endoscopic aortic valve replacement with concomitant trans-aortic mitral valve repair for mitral regurgitationAntonios Pitsis0Nikolaos Tsotsolis1Harisios Boudoulas2Konstantinos Dean Boudoulas3Thessaloniki Heart Institute, European Interbalkan Medical CenterThessaloniki Heart Institute, European Interbalkan Medical CenterDivision of Cardiovascular Medicine, The Ohio State UniversityDivision of Cardiovascular Medicine, The Ohio State UniversityAbstract Background Minimally invasive aortic valve procedures through a hemi-sternotomy or a right anterior mini-thoracotomy have gained popularity over the last several years. Totally endoscopic aortic valve replacement (TEAVR) is an innovative and a less invasive (incision-wise) surgical aortic valve replacement technique. The operative steps of TEAVR have been reported previously from our group. Mitral regurgitation (MR) frequently accompanies aortic valve disease that at times may also require repair. Totally endoscopic surgery in such cases has not been tested. Presentation of the technique We present a surgical technique for a totally endoscopic approach to aortic valve replacement and concomitant mitral valve repair for primary and secondary MR. An aortotomy incision was used avoiding an atriotomy, which results in an increase in cross-clamp (XC) and cardiopulmonary bypass (CPB) times that could be associated with higher mortality and morbidity. Neochords (artificial chordae tendineae) were used for primary MR and an edge-to-edge approach for secondary MR. Conclusion TEAVR and concomitant mitral valve repair can be performed successfully with reasonable XC and CPB times with excellent short-term results.https://doi.org/10.1186/s13019-021-01694-6Minimally invasive cardiac surgeryTotally endoscopic aortic valve replacementTotally endoscopic mitral valve repairEdge-to-edge repairTrans-aortic mitral valve repair |
| spellingShingle | Antonios Pitsis Nikolaos Tsotsolis Harisios Boudoulas Konstantinos Dean Boudoulas Totally endoscopic aortic valve replacement with concomitant trans-aortic mitral valve repair for mitral regurgitation Journal of Cardiothoracic Surgery Minimally invasive cardiac surgery Totally endoscopic aortic valve replacement Totally endoscopic mitral valve repair Edge-to-edge repair Trans-aortic mitral valve repair |
| title | Totally endoscopic aortic valve replacement with concomitant trans-aortic mitral valve repair for mitral regurgitation |
| title_full | Totally endoscopic aortic valve replacement with concomitant trans-aortic mitral valve repair for mitral regurgitation |
| title_fullStr | Totally endoscopic aortic valve replacement with concomitant trans-aortic mitral valve repair for mitral regurgitation |
| title_full_unstemmed | Totally endoscopic aortic valve replacement with concomitant trans-aortic mitral valve repair for mitral regurgitation |
| title_short | Totally endoscopic aortic valve replacement with concomitant trans-aortic mitral valve repair for mitral regurgitation |
| title_sort | totally endoscopic aortic valve replacement with concomitant trans aortic mitral valve repair for mitral regurgitation |
| topic | Minimally invasive cardiac surgery Totally endoscopic aortic valve replacement Totally endoscopic mitral valve repair Edge-to-edge repair Trans-aortic mitral valve repair |
| url | https://doi.org/10.1186/s13019-021-01694-6 |
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