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Totally endoscopic aortic valve replacement with concomitant trans-aortic mitral valve repair for mitral regurgitation
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 rep...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8557064/ https://www.ncbi.nlm.nih.gov/pubmed/34717719 http://dx.doi.org/10.1186/s13019-021-01694-6 |
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author | Pitsis, Antonios Tsotsolis, Nikolaos Boudoulas, Harisios Boudoulas, Konstantinos Dean |
author_facet | Pitsis, Antonios Tsotsolis, Nikolaos Boudoulas, Harisios Boudoulas, Konstantinos Dean |
author_sort | Pitsis, Antonios |
collection | PubMed |
description | 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. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s13019-021-01694-6. |
format | Online Article Text |
id | pubmed-8557064 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-85570642021-11-01 Totally endoscopic aortic valve replacement with concomitant trans-aortic mitral valve repair for mitral regurgitation Pitsis, Antonios Tsotsolis, Nikolaos Boudoulas, Harisios Boudoulas, Konstantinos Dean J Cardiothorac Surg Case Report 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. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s13019-021-01694-6. BioMed Central 2021-10-30 /pmc/articles/PMC8557064/ /pubmed/34717719 http://dx.doi.org/10.1186/s13019-021-01694-6 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Case Report Pitsis, Antonios Tsotsolis, Nikolaos Boudoulas, Harisios Boudoulas, Konstantinos Dean Totally endoscopic aortic valve replacement with concomitant trans-aortic mitral valve repair for mitral regurgitation |
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 | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8557064/ https://www.ncbi.nlm.nih.gov/pubmed/34717719 http://dx.doi.org/10.1186/s13019-021-01694-6 |
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