B Bridgewater (Manchester, UK) introduces a session on early intervention in mitral valve repair. I Ahmed (Brighton, UK) argues in favour of early intervention. R Rosenhek (Vienna, Austria) prefers a watchful waiting approach. D Adams (New York, UK) discusses the…
Posted in Mitral valve
Tagged with: 2014
This is a panel discussion on the philosophy of mitral valve repair.
J-F Obadia (Lyon, France) describes his minimally invasive mitral valve repair techniques, emphasising setup and how he measures the length of the goretex neochordae.
H Vanermen (Brussels, Belgium) discusses SAM and how it can be repaired endoscopically.
D Adams (New York, USA) discusses the modern role of the Resect philosophy in mitral valve repair.
A Yilmaz (Amsterdam, Netherlands) describes his techniques for minimally-invasive mitral valve repair, including a video demonstration.
H Vanermen (Brussels, Belgium) gives an overview of techniques used in mitral valve repair, with emphasis on P2.
N Moat (London, UK) argues in favour of a Respect philosophy towards mitral valve repsir.
H-J Schaefers (Homburg/Saar, Germany) considers the pathophysiology of functional mitral regurgitation. He stresses the importance of addressing the ventricular component of the disease if one is to achieve a durable repair.
Prakash Punjabi (London, UK) presents the evidence for mitral valve intervention in the failing heart.
S Livesey (Southampton, UK) presents one year data from the European Registry of the saddle-shaped Carpentier-Edwards Physio II ring.
A Vahanian (Paris, France) discusses patient selection for mitraclip use. O Alfieri (Milan, Italy) describes the international clinical experience. S Livesey (Southampton, UK) puts forward the case for surgical repair.
B Bridgewater (Manchester, UK) explains how the UK database is used to analyse mitral valve repair rates and outcomes. A discussion follows.
P Punjabi (London, UK) examines the role of left ventricular shape in mitral valve repair, and techniques used to optimise this shape.
J-L Vanoverschelde (Brussels, Belgium) examines the causes of early and late failure after mitral valve repair.
A Vahanian (Paris, France) looks at the indications for mitral valve repair, with emphasis on the 2012 European valve guidelines.
O Alfieri (Milan, Italy) gives an overview of the goals of mitral valve repair and describes the different techniques used.
F Wells (Cambridge, UK) explores the importance of surgical experience and the nature of the pathology when deciding on mitral valve repair or replacement.
F Wells (Cambridge, UK) discusses the importance of mitral clefts. He reviews the development of the mitral valve, its saddle shape, and the use of annuloplasty rings. He considers the causes of SAM and how it can be avoided.
S Price (London, UK) looks at circumflex coronary artery injury during mitral valve repair.
J-L J Vanoverschelde (Brussels, Belgium) gives an overview of mitral valve assessment by echocardiography.
J-L J Vanoverschelde (Brussels, Belgium) considers how much residual regurgitation is acceptable after mitral valve repair.
F Wells (Cambridge, UK) tells how he avoids producing systolic anterior motion (SAM) in mitral valve repair.
S Price (London, UK) explains how to assess and manage systolic anterior motion (SAM) after mitral valve repair. A panel discussion follows.
A Vahanian (Paris, France) reviews the current status of percutaneous mitral valve repair and considers how this field may develop in the future.
M Buch (Manchester, UK) looks at the current indications and outcomes for the Mitraclip, including consideration of the Everest II trial and the 2012 European Valve Guidelines.
S Ray (Manchester, UK) argues for the development of valve centres of excellence, based on the recommendations in guidelines.
H Vanermen (Brussels, Belgium) describes the principles of minimally-invasive mitral valve repair for bi-leaflet prolapse, before giving video demonstrations of his techniques.