keyword
https://read.qxmd.com/read/38535104/transferring-surgical-expertise-analyzing-the-learning-curve-of-robotic-cardiac-surgery-operative-time-reduction-when-surgeon-moves-from-one-experienced-center-to-another
#1
JOURNAL ARTICLE
Sherif M Khairallah, Mohamed Rahouma, Stephanie L Mick
BACKGROUND: Robotically assisted cardiac surgery is performed in a team setting and is well known to be associated with learning curves. Surgeon and operative team learning curves are distinct entities, with total operative time representing the entire operative team (surgery, anesthesia, nursing, and perfusion) and cross-clamp time representing mainly the surgical team. Little is known about how a team learning curve evolves when an experienced surgeon transitions from one surgical center to another...
February 29, 2024: Journal of Cardiovascular Development and Disease
https://read.qxmd.com/read/38531070/prognostic-value-of-left-ventricular-global-longitudinal-strain-in-transcatheter-edge-to-edge-repair-for-chronic-primary-mitral-regurgitation
#2
JOURNAL ARTICLE
Alon Shechter, Gloria J Hong, Danon Kaewkes, Vivek Patel, Parth Visrodia, P Ryan Tacon, Ofir Koren, Keita Koseki, Takashi Nagasaka, Sabah Skaf, Moody Makar, Tarun Chakravarty, Raj R Makkar, Robert J Siegel
AIMS: Left ventricular global longitudinal strain (LVGLS) is a known outcome predictor in transcatheter edge-to-edge repair (TEER) for functional mitral regurgitation (MR). We aimed to assess its prognostic yield in the setting of TEER for chronic primary MR. METHODS AND RESULTS: We conducted a single-center, retrospective analysis of 323 consecutive patients undergoing isolated, first-time procedures. Stratified by baseline LVGLS quartiles (≤-19%, -18.9-(-16)%, -15...
March 26, 2024: European Heart Journal Cardiovascular Imaging
https://read.qxmd.com/read/38529422/advancements-in-mitraclip-intervention-for-mitral-regurgitation-a-comprehensive-review-and-comparative-analysis-of-clinical-trials
#3
REVIEW
Shitij Shrivastava, Shashwat Shrivastava, Sai Vishnu Vardhan Allu, Patrik Schmidt, Moiud Mohyeldin, Abeer Qasim
This comprehensive review explores the evolution and clinical impact of MitraClip intervention in the management of mitral regurgitation. Mitral regurgitation results from dysfunction in the mitral valve (MV) apparatus. The MitraClip Clip Delivery System was approved by the Food and Drug Administration (FDA) in 2013. The discussion delves into the procedural foundation of MitraClip intervention, primarily based on Alfieri's technique of edge-to-edge leaflet approximation. As highlighted by key clinical trials, including Endovascular Valve Edge-to-Edge Repair (EVEREST) II Trial, Cardiovascular Outcomes Assessment of the MitraClip Percutaneous Therapy for Heart Failure Patients with Functional Mitral Regurgitation (COAPT) Trial, and Percutaneous Repair with the MitraClip Device for Severe Functional/Secondary Mitral Regurgitation (MITRA-FR) trial, the efficacy and safety of MitraClip were evaluated in comparison to surgical interventions and guideline-directed medical therapy...
February 2024: Curēus
https://read.qxmd.com/read/38527371/correction-to-healthcare-resource-utilisation-and-safety-outcomes-in-patients-undergoing-transcatheter-mitral-valve-repair-a-nationwide-analysis
#4
JOURNAL ARTICLE
(no author information available yet)
No abstract text is available yet for this article.
March 25, 2024: European Heart Journal
https://read.qxmd.com/read/38524676/navigating-missing-link-innovative-cannulation-for-robotic-mitral-valve-repair-in-the-absence-of-inferior-vena-cava
#5
Yahya Alwatari, Lindsey Randall, Phillip G Rowse, Richard C Daly, Arman Arghami
Cardiac surgeries often require the use of cardiopulmonary bypass to allow visualization and manipulation of tissues. Vascular anomalies may impose challenges with access configuration. A patient was evaluated for robot-assisted mitral valve repair and found to have an atretic inferior vena cava secondary due to chronic occlusion. The patient was cannulated arterially through the left common femoral artery, and two cannulation sites were applied for venous drainage: the right intrajugular vein and a second percutaneous access site directly into the right atrium through the chest wall...
March 2024: Journal of Surgical Case Reports
https://read.qxmd.com/read/38522876/hypertrophic-cardiomyopathy-preadolescence-mitral-valve-disease-and-midventricular-obstruction
#6
REVIEW
Elaine M Griffeth, Elizabeth H Stephens, Joseph A Dearani
Septal myectomy is indicated in patients with obstructive hypertrophic cardiomyopathy (HCM) who have persistent symptoms despite medical therapy, intolerance of medication side effects, or severe resting or provocable gradients. Septal myectomy at high volume centers is safe, with low operative mortality (1%) and low rates of complications such as complete heart block or ventricular septal defect (3% and 0.5%, respectively). Additionally, improved survival following myectomy has been observed when compared to patients with obstructive HCM managed medically or those with nonobstructive HCM...
2024: Seminars in Thoracic and Cardiovascular Surgery. Pediatric Cardiac Surgery Annual
https://read.qxmd.com/read/38521439/primary-mitral-regurgitation-treated-with-transcatheter-edge-to-edge-repair-does-transthoracic-echocardiography-provide-prognostic-information
#7
JOURNAL ARTICLE
Dolores Mesa, Rafael González Manzanares, Manuel Pan
No abstract text is available yet for this article.
March 21, 2024: Revista Española de Cardiología
https://read.qxmd.com/read/38518844/comparative-efficacy-and-safety-of-mitral-valve-repair-versus-mitral-valve-replacement-in-improving-clinical-outcomes-in-patients-with-rhematic-heart-disease-a-high-value-care-systematic-review-and-meta-analysis
#8
REVIEW
Farah Yasmin, Abdul Moeed, Hala Najeeb, Muhammad Umar, Shizra Jawed, Abdul Raafe Atif, Muhammad Sohaib Asghar, M Chadi Alraies
Rheumatic Heart Disease (RHD) remains a leading cause of cardiovascular death (CVD) globally. Mitral Valve repair (MVP) and mitral valve replacement (MVR) are the two most commonly and successfully used techniques to treat the disease. MVP is associated with reduced post-operative complications compared to MVR; however, it carries the risk of valvular fibrosis and scarring. Given the lack of recommendations, inconsistent findings, and paucity of pathophysiological evidence at present, we aimed to conduct a meta-analysis and systematically review the available literature to determine the efficacy and safety of MVP compared to MVR in improving clinical outcomes among patients with RHD...
March 20, 2024: Current Problems in Cardiology
https://read.qxmd.com/read/38515335/long-term-cost-effectiveness-of-transcatheter-mitral-valve-repair-in-%C3%A2-hf-patients-with-secondary-mitral-regurgitation
#9
JOURNAL ARTICLE
Younan Yao, Ziyou Zhou, Tian Geng, Anping Cai, Tian Li, Junqing Yang, Jiyan Chen, Liwen Li
AIMS: The long-term cost-effectiveness of MitraClip in heart failure patients with secondary mitral regurgitation is still unclear. This study aimed to evaluate the long-term cost-effectiveness of MitraClip added to guideline-directed medical therapy vs. guideline-directed medical therapy alone in heart failure patients with secondary mitral regurgitation from the perspective of the healthcare systems of mainland China, the United Kingdom, Germany, and the United States. METHODS AND RESULTS: A two-stage (decision + Markov) model was built...
March 22, 2024: ESC Heart Failure
https://read.qxmd.com/read/38511306/non-resectional-cordal-repair-for-barlow-mitral-valve-disease
#10
JOURNAL ARTICLE
Isabella S Florissi, Matthew Acton, Irina Kolesnik, Chetan Pasrija, Ishani Patel, Eric Etchill, Sari D Holmes, Rachael Quinn, James S Gammie
BACKGROUND: The redundant leaflet tissue and annular pathology of Barlow disease can make surgical repair challenging. We examined perioperative and late outcomes of a large cohort of patients with Barlow disease undergoing surgical repair. METHODS: Patients included in this analysis underwent mitral valve repair from 01/2004-11/2021 by a single surgeon. RESULTS: Of 2798 patients undergoing mitral valve operations, 46% (N.=1292) had degenerative pathology and 7% (N...
March 20, 2024: Journal of Cardiovascular Surgery
https://read.qxmd.com/read/38510508/association-between-lower-extremity-peripheral-arterial-disease-and-in-hospital-outcomes-among-patients-undergoing-trans-catheter-mitral-valve-edge-to-edge-repair
#11
JOURNAL ARTICLE
Asmaa Ahmed, Mohammed Faisaluddin, Islam Y Elgendy
No abstract text is available yet for this article.
January 2024: American heart journal plus: cardiology research and practice
https://read.qxmd.com/read/38505020/optimal-antithrombotic-strategy-following-valve-in-valve-transcatheter-aortic-and-mitral-valve-replacement
#12
REVIEW
Maximilian Reisinger, Polydoros N Kampaktsis, Tanush Gupta, Isaac George
The treatment of aortic and mitral valve disease requiring replacement has shifted to an increasing use of bioprosthetic heart valves. Due to their limited durability, there is a growing need for reintervention in the setting of failing bioprosthesis. Even though the gold standard for the treatment of failed bioprosthesis remains surgical repair or replacement, valve-in-valve (ViV) transcatheter aortic and mitral valve replacement have emerged as safe and effective alternatives for patients who are at high or prohibitive risk for surgery...
February 29, 2024: Journal of Thoracic Disease
https://read.qxmd.com/read/38504392/robotic-totally-endoscopic-mitral-valve-repair-after-failed-mitraclip
#13
JOURNAL ARTICLE
Hiroto Kitahara, Kaitlin Grady, Husam H Balkhy
No abstract text is available yet for this article.
March 19, 2024: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery
https://read.qxmd.com/read/38504295/recognition-and-management-of-left-atrial-dissection-during-mitral-repair
#14
JOURNAL ARTICLE
Haya Alshaabi, Jack F Donaghue, Denise M Franko, Jock N McCullough
BACKGROUND: Left atrial dissection (LAtD) is a rare but potentially life-threatening complication of mitral valve surgery. Its management is not well stablished in the literature. However, early recognition through intraoperative TEE and attention to changes in the left atrial free wall during saline leak testing can lead to avoidance of severe complications. CASE PRESENTATION: We report a case of LAtD detected by intraoperative transesophageal echocardiogram (TEE) following mitral valve repair for primary mitral valve regurgitation secondary to degenerative mitral valve disease with MAZE IV procedure for atrial fibrillation...
March 19, 2024: Journal of Cardiothoracic Surgery
https://read.qxmd.com/read/38504076/entire-mitral-valve-reconstruction-using-porcine-extracellular-matrix-adding-a-ring-annuloplasty
#15
JOURNAL ARTICLE
Johannes H Jedrzejczyk, Stine Krog, Søren N Skov, Karen B Poulsen, Mona Sharghbin, Leila L Benhassen, Sten L Nielsen, J Michael Hasenkam, Marcell J Tjørnild
PURPOSE: This study investigated the implications of inserting a flexible annuloplasty ring after reconstructing the entire mitral valve in a porcine model using a previously investigated tube graft design made of 2-ply small intestinal submucosa extracellular matrix (CorMatrix®). METHODS: An acute model with eight 80-kg pigs, each acting as its own control, was used. The entire mitral valve was reconstructed with a 2-ply small intestinal submucosa extracellular matrix tube graft (CorMatrix®)...
March 19, 2024: Cardiovascular Engineering and Technology
https://read.qxmd.com/read/38502857/efficacy-of-mitral-valve-repair-in-combination-with-coronary-revascularization-for-moderate-ischaemic-mitral-regurgitation-a-systematic-review-and-meta-analysis-of-randomized-controlled-trials
#16
JOURNAL ARTICLE
Xin Li, Biao Hou, Shuwen Hou, Hongjia Zhang, Yuyong Liu, Wenjian Jiang
BACKGROUND: The efficacy of mitral valve repair (MVR) in combination with coronary artery bypass grafting (CABG) for moderate ischaemic mitral regurgitation (IMR) remains unclear. To evaluate whether MVR + CABG is superior to CABG alone, the authors conducted a systematic review and meta-analysis of existing randomized controlled trials (RCTs). METHODS: The authors searched PubMed, Web of Science, and the Cochrane Central Register of Controlled Trials for eligible RCTs from the date of their inception to October 2023...
March 19, 2024: International Journal of Surgery
https://read.qxmd.com/read/38500490/hypertrophic-cardiomyopathy-with-anteriorly-directed-mitral-regurgitation-is-a-red-flag-for-concomitant-pathology-a-case-report
#17
Vincenzo Somma, Jaishankar Raman, Leigh Fitzpatrick, David Prior, Elizabeth Paratz
BACKGROUND: Hypertrophic cardiomyopathy (HCM) is often linked to systolic anterior motion (SAM) of the mitral valve, typically resulting in a posteriorly directed mitral regurgitation (MR) jet. An anteriorly directed MR jet suggests additional mitral valve pathology that may not be resolved by myectomy alone. CASE SUMMARY: A 58-year-old construction worker with no significant medical history experienced a syncopal event and was admitted to the emergency department with acute pulmonary oedema...
March 2024: European Heart Journal. Case Reports
https://read.qxmd.com/read/38499176/transcatheter-mitral-edge-to-edge-repair-age-is-only-one-parameter-among-others
#18
EDITORIAL
David Messika-Zeitoun, Vincent Chan, Talal Al-Atassi, Adam Dryden, Ian G Burwash, Marino Labinaz
No abstract text is available yet for this article.
March 16, 2024: Canadian Journal of Cardiology
https://read.qxmd.com/read/38498841/early-and-long-term-outcomes-following-redo-mitral-valve-surgery-in-patients-with-prior-minimally-invasive-mitral-valve-surgery
#19
JOURNAL ARTICLE
Katja Schumacher, Mateo Marin Cuartas, Manuela de la Cuesta, Thilo Noack, Philipp Kiefer, Sergey Leontyev, Michael A Borger, Marcel Vollroth, Martin Misfeld
OBJECTIVES: The frequency of minimally invasive mitral valve surgery has steadily increased over the last decades and therefore surgeons are now encountering an increasing number of patients requiring mitral valve reoperations post-minimally invasive mitral valve surgery. The aim of this study was to analyze the early postoperative outcomes and the long-term survival in patients who undergo reoperative mitral valve surgery following previous minimally invasive surgery. METHODS: Patients who underwent redo mitral valve surgery following prior minimally invasive mitral valve surgery between January 2002 and December 2021 were included in our analysis...
March 18, 2024: Interdiscip Cardiovasc Thorac Surg
https://read.qxmd.com/read/38490258/risk-of-infective-endocarditis-after-hybrid-melody-mitral-valve-replacement-in-infants-the-french-experience
#20
JOURNAL ARTICLE
Paul Padovani, Zakaria Jalal, Virginie Fouilloux, Nadir Benbrik, Céline Grunenwald, Jean-Benoit Thambo, Philippe Aldebert, Maha Tagorti, François Roubertie, Olivier Baron, Caroline Ovaert, Mohamedou Ly, Alban-Elouen Baruteau
OBJECTIVES: Surgical management of mitral valve disease is challenging in infants <1 year-old. We aimed at reviewing the French experience with Melody mitral valve replacement in critically ill infants. METHODS: A retrospective cohort study reporting the French experience with Melody mitral valve replacement. RESULTS: Seven symptomatic infants (complete atrioventricular septal defect [N = 4, Down syndrome: N = 3], hammock valve [N = 3]) underwent Melody mitral valve replacement (age: 3 mo [28 days-8mo], weight: 4...
March 15, 2024: Interdiscip Cardiovasc Thorac Surg
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