Minimally Invasive Direct Access Balloon-Expandable Transcatheter Mitral Valve Replacement for Extensive Mitral Annular Calcification after Transcatheter Aortic Valve Replacement
This report describes a patient who previously received a transcatheter aortic valve replacement and then subsequently underwent a minimally invasive right thoracotomy for transcatheter mitral valve replacement with a successful result. We discuss technical pearls and operative considerations based on an extensive experience with minimally invasive valve surgery from a right mini-thoracotomy.
ConclusionsMinimally invasive reoperative AVR with a sutureless or rapid-deployment prosthesis is a safe and feasible treatment strategy, resulting in fast recovery and improved postoperative outcome with no mortality and an acceptable complication rate.
We present a case of surgical treatment of TAVR-PVE in a 75-year-old patient. The success of the treatment is based on the reduction of the operative trauma and length of the procedure with the use of minimally invasive right-sided thoracotomy and the Perceval sutureless aortic valve prosthesis (LivaNova, London, United Kingdom).
Conclusions: Our center successfully implanted the self-expandable aortic valve Evolut™ through direct aortic for presenting a dissection in transverse aorta with possibilities of embolization. PMID: 31702726 [PubMed - in process]
ConclusionsMIAMVS can be performed via a right mini ‐thoracotomy, with acceptable early and midterm results expected. This may be a feasible alternative to the standard median sternotomy approach.
This study included 126 patients who underwent initial and isolated minimally invasive aortic valve replacement via right infra-axillary mini thoracotomy for aortic valve stenosis. Patients were divided into the first 50 patients [1–50 cases: E group (n = 50)] and the last 76 patients [51–126 cases: L group (n = 76)].ResultsA significantly shorter operative time (239.4 ± 35.2 min vs. 206.5 ± 25.5 min,P
CONCLUSIONS: In patients with rheumatic valve disease, minimally invasive mitral surgery safely and effectively can be performed with few perioperative complications and good midterm results. PMID: 31596718 [PubMed - in process]
MINIMALLY invasive cardiac surgery (MICS) is being increasingly performed.1 Several approaches are listed under the term MICS, such as ministernotomy for aortic valve replacement, left minithoracotomy for minimally invasive direct coronary artery bypass, and right anterior minimally invasive thoracotomy (RMIT) principally for mitral or aortic valve surgery. Minimally invasive thoracotomy is associated with intense and prolonged postsurgical pain, which can be equal to that occurring after conventional sternotomy.
Publication date: Available online 29 August 2019Source: The Annals of Thoracic SurgeryAuthor(s): Andrea L. Axtell, Philicia Moonsamy, Jacob P. Dal-Bianco, Jonathan J. Passeri, Thoralf M. Sundt, Serguei MelnitchoukAbstractBackgroundTo review the efficacy of a minimally invasive surgical technique for mitral valve (MV) repair, we analyze a non-resectional technique for degenerative mitral regurgitation (DMR).MethodsA retrospective analysis was performed on 101 consecutive patients who underwent a minimally invasive MV repair for severe DMR between 2014–2017. All patients underwent a right lateral mini-thoracotomy and ...
AbstractThe concept of minimally invasive cardiac surgery has been gradually adopted world-wide since its inception more than 2 decades ago. Recently, catheter intervention has been used in the treatment of structural heart disease. Most notably, minimally invasive transcatheter aortic valve implantation is now an established treatment option for aortic valve stenosis. There are three major approaches for minimally invasiv e aortic valve surgery: via median sternotomy, via the parasternal approach, and via the thoracotomy approach. All these approaches allow for a small skin incision and/or avoid full sternotomy. Mor...
ConclusionsIn our experience, this approach is a reliable platform for a variety of MICS procedures and has resulted in low complication rates. The technique can be applied safely to both paediatric and adult population. Also, it is very cost effective as regular instruments and cannulas are used.