Totally endoscopic aortic valve replacement with concomitant trans-aortic mitral valve repair for mitral regurgitation

Author:

Pitsis AntoniosORCID,Tsotsolis Nikolaos,Boudoulas Harisios,Boudoulas Konstantinos Dean

Abstract

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.

Publisher

Springer Science and Business Media LLC

Subject

Cardiology and Cardiovascular Medicine,General Medicine,Surgery,Pulmonary and Respiratory Medicine

Cited by 4 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

1. Totally Endoscopic Redo Tricuspid Repair With a Modified Clover Triple Edge-to-Edge Technique;Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery;2024-05

2. Totally Endoscopic Triple-Valve Surgery With Transcatheter Valve in Mitral Annular Calcification, Aortic Valve Replacement, and Tricuspid Repair;Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery;2024-03

3. Myocardial Protection of Dexmedetomidine and Sevoflurane Pretreatment in Patients Undergoing Valve Replacement;International Journal of Pharmacology;2023-05-01

4. Totally Endoscopic Aortic Valve Replacement;Endoscopic Cardiac Surgery;2023

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