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
I Ahmed (Brighton, UK) argues in favour of developing minimally invasive mitral valve surgery.
S Livesey (Southampton, UK) argues against the widespread adoption of minimally invasive mitral valve surgery.
B Bridgewater (Manchester, UK) describes his personal experience of starting and then stopping a minimally invasive mitral programme.
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.
P Modi (Liverpool, UK) describes how he set up a minimally invasive mitral valve programme in Liverpool.
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.
J Takkenberg (Rotterdam, Netherlands) considers valve prosthesis choice according to the 2012 ECS-EACTS European guidelines.
S Livesey (Southampton, UK) presents one year data from the European Registry of the saddle-shaped Carpentier-Edwards Physio II ring.
O Alfieri (Milan, Italy) gives an overview of the 2012 European valve guidelines for asymptomatic mitral regurgitation, and then proceeds to look at tricuspid regurgitation.
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.
A Szczap (Bristol, UK) looks at renal function after minimally invasive versus conventional mitral valve surgery.
Prof T Doenst (Jena, Germany) argues in favour of a minimally invasive approach to mitral valve surgery in suitable cases. Using video demonstrations, he demonstrates his approach to a number of potentially challenging situations.
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.
F Wells (Cambridge, UK) describes the structure of the mitral valve and its complexity as a functional unit.
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.
R Patel (Coventry, UK) explains why redo mitral surgery is sometimes necessary and describes surgical tips and tricks.
T David (Toronto, Canada) discusses the problem of posterior mitral valve calcification, with a video demonstration of repair using a CorMatrix patch.
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.
F Wells (Cambridge, UK) argues against the routine use of a minimal-access approach to mitral valve surgery. He recognises that good results for non-complex disease can be achieved in expert hands but believes that the open appoach is more appropriate…
T David (Toronto, Canada) discusses choosing the optimal valve prosthesis.J Takkenberg (Rotterdam, Netherlands) looks at survival and complications from an epidemiological viewpoint. M Jahangiri (London, UK) considers the importance of valve size in prosthesis selection. A panel discussion follows.
S Price (London, UK) explains how to assess and manage systolic anterior motion (SAM) after mitral valve repair. A panel discussion follows.
A McNab (Manchester, UK) describes the role of echocardiography in pre-procedural assessment, peri-procedural support and post-procedural follow-up of transcatheter aortic valve implantation cases. The mitraclip system is also considered.
B Gersak (Ljubljana, Slovenia) describes his techniques for minimally-invasive mitral valve surgery using an endoclamp.
A Macnab (Manchester, UK) gives a detailed description of the desirable TOE views in the assessment of the mitral valve.
S Ray (Manchester, UK) gives an overview of TOE use in assessing mitral regurgitation with normal leaflet motion.
V Bapat (London, UK) describes the Edwards transcatheter mitral valve replacement system, including a video animation and presentation of his early results.
A Vahanian (Paris, France) reviews the current status of percutaneous mitral valve repair and considers how this field may develop in the future.
P Perier (Bad Neustadt/Saale, Germany) reviews the evolution of minimally-invasive mitral valve surgery.
J Ender (Leipzig, Germany) considers functional restrictive mitral regurgitation, looking at mechanisms, measurements and therapeutic options.
K Khan (Middlesbrough, UK) discusses his approach to anaesthesia in minimally-invasive mitral valve surgery, describing tips and tricks based on his unit’s experience.
I Birdi (Basildon, UK) discusses and shows a video demonstration of his techniques in minimally invasive mitral surgery.
D Cheng (London, Canada) gives an overview of the anaesthetic implications of minimally invasive mitral surgery.
M Buch (Manchester, UK) reviews the status of and indications for transcatheter mitral valve therapies.
J Ender (Leipzig, Germany) shows cases of circumflex artery injury during mitral valve repair and explains the anatomy to demonstrate how easily this can happen.
M Dalrymple-Hay (Plymouth, UK) gives an update on the rapidly evolving field of new mitral valve technologies.
J Dark (Newcastle, UK) describes how a mitral valve service was set up in Newcastle.
B Bridgewater (Manchester, UK) explains how the UK database can be used to inform commissioning of mitral valve services.
S Ray (Manchester, UK) argues for the development of valve centres of excellence, based on the recommendations in guidelines.
This is a panel discussion following a state of the art mitral valve surgery session.
H Vanermen (Brussels, Belgium) describes the principles of minimally-invasive mitral valve repair for bi-leaflet prolapse, before giving video demonstrations of his techniques.