Tag: mitral-valve

Mitral valve early intervention

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

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Why a minimally invasive programme?

I Ahmed (Brighton, UK) argues in favour of developing minimally invasive mitral valve surgery.

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Why not a minimally invasive mitral programme?

S Livesey (Southampton, UK) argues against the widespread adoption of minimally invasive mitral valve surgery.

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Minimally invasive mitral – unpublished evidence

B Bridgewater (Manchester, UK) describes his personal experience of starting and then stopping a minimally invasive mitral programme.

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Degenerative mitral valve – resect or respect discussion

This is a panel discussion on the philosophy of mitral valve repair.

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Mini mitral for posterior prolapse

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.

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Mini mitral in special circumstances

H Vanermen (Brussels, Belgium) discusses SAM and how it can be repaired endoscopically.

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Minimally invasive mitral programme setup

P Modi (Liverpool, UK) describes how he set up a minimally invasive mitral valve programme in Liverpool.

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Mitral valve resect philosophy

D Adams (New York, USA) discusses the modern role of the Resect philosophy in mitral valve repair.

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Endoscopic totally closed chest mitral repair

A Yilmaz (Amsterdam, Netherlands) describes his techniques for minimally-invasive mitral valve repair, including a video demonstration.

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Mitral valve personal philosophy

H Vanermen (Brussels, Belgium) gives an overview of techniques used in mitral valve repair, with emphasis on P2.

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Mitral valve respect philosophy

N Moat (London, UK) argues in favour of a Respect philosophy towards mitral valve repsir.

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My approach to functional mitral regurgitation

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.

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Failing heart mitral valve surgery

Prakash Punjabi (London, UK) presents the evidence for mitral valve intervention in the failing heart.

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ESC-EACTS valve guidelines – prosthesis choice

J Takkenberg (Rotterdam, Netherlands) considers valve prosthesis choice according to the 2012 ECS-EACTS European guidelines.

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Mitral valve repair with Physio II ring

S Livesey (Southampton, UK) presents one year data from the European Registry of the saddle-shaped Carpentier-Edwards Physio II ring.

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ESC-EACTS valve guidelines – asymptomatic mitral regurgitation, tricuspid regurgitation

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.

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Mitraclip current role

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.

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Renal function after mitral valve surgery

A Szczap (Bristol, UK) looks at renal function after minimally invasive versus conventional mitral valve surgery.

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My minimally invasive mitral challenges – tips and tricks

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.

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UK longterm mitral valve repair outcomes

B Bridgewater (Manchester, UK) explains how the UK database is used to analyse mitral valve repair rates and outcomes. A discussion follows.

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Left ventricular shape in mitral valve repair

P Punjabi (London, UK) examines the role of left ventricular shape in mitral valve repair, and techniques used to optimise this shape.

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Mitral valve functional unit

F Wells (Cambridge, UK) describes the structure of the mitral valve and its complexity as a functional unit.

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Mitral valve repair failure risk factors

J-L Vanoverschelde (Brussels, Belgium) examines the causes of early and late failure after mitral valve repair.

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Mitral valve repair optimal timing

A Vahanian (Paris, France) looks at the indications for mitral valve repair, with emphasis on the 2012 European valve guidelines.

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Mitral valve repair principles

O Alfieri (Milan, Italy) gives an overview of the goals of mitral valve repair and describes the different techniques used.

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Mitral valve repair contraindications

F Wells (Cambridge, UK) explores the importance of surgical experience and the nature of the pathology when deciding on mitral valve repair or replacement.

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Mitral Valve Repair durability

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Mitral valve re-operation & re-repair

R Patel (Coventry, UK) explains why redo mitral surgery is sometimes necessary and describes surgical tips and tricks.

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Posterior mitral valve decalcification

T David (Toronto, Canada) discusses the problem of posterior mitral valve calcification, with a video demonstration of repair using a CorMatrix patch.

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Mitral clefts, calcium and more

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.

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Circumflex coronary artery imaging

S Price (London, UK) looks at circumflex coronary artery injury during mitral valve repair.

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Mitral valve echocardiographic assessment

J-L J Vanoverschelde (Brussels, Belgium) gives an overview of mitral valve assessment by echocardiography.

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Residual mitral valve regurgitation

J-L J Vanoverschelde (Brussels, Belgium) considers how much residual regurgitation is acceptable after mitral valve repair.

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Avoiding SAM in mitral valve repair

F Wells (Cambridge, UK) tells how he avoids producing systolic anterior motion (SAM) in mitral valve repair.

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First line treatment of mitral valve disease should be by open sternotomy

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

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Aortic valve prosthesis choice

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.

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Defining SAM post mitral repair

S Price (London, UK) explains how to assess and manage systolic anterior motion (SAM) after mitral valve repair. A panel discussion follows.

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TAVI & mitraclip transoesophageal echocardiography

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.

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Endoscopic mitral valve surgery with endoclamp

B Gersak (Ljubljana, Slovenia) describes his techniques for minimally-invasive mitral valve surgery using an endoclamp.

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Transoesophageal echocardiography type II mitral regurgitation

A Macnab (Manchester, UK) gives a detailed description of the desirable TOE views in the assessment of the mitral valve.

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Transoesophageal echocardiography type I mitral regurgitation

S Ray (Manchester, UK) gives an overview of TOE use in assessing mitral regurgitation with normal leaflet motion.

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Transcatheter mitral Edwards Fortis

V Bapat (London, UK) describes the Edwards transcatheter mitral valve replacement system, including a video animation and presentation of his early results.

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Transcatheter mitral repair overview

A Vahanian (Paris, France) reviews the current status of percutaneous mitral valve repair and considers how this field may develop in the future.

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Mini-mitral surgery: state of the art in Europe

P Perier (Bad Neustadt/Saale, Germany) reviews the evolution of minimally-invasive mitral valve surgery.

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TOE type III mitral regurgitation

J Ender (Leipzig, Germany) considers functional restrictive mitral regurgitation, looking at mechanisms, measurements and therapeutic options.

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Anaesthetic implications of mini-mitral surgery

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.

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Endoscopic mitral valve surgery with portaclamp

I Birdi (Basildon, UK) discusses and shows a video demonstration of his techniques in minimally invasive mitral surgery.

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Mini mitral anaesthesia

D Cheng (London, Canada) gives an overview of the anaesthetic implications of minimally invasive mitral surgery.

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Mitraclip update

M Buch (Manchester, UK) reviews the status of and indications for transcatheter mitral valve therapies.

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Circumflex artery injury during mitral valve repair

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.

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Novel mitral valve technologies

M Dalrymple-Hay (Plymouth, UK) gives an update on the rapidly evolving field of new mitral valve technologies.

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Mitral valve commissioning – achieving change

J Dark (Newcastle, UK) describes how a mitral valve service was set up in Newcastle.

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UK mitral valve surgery status

B Bridgewater (Manchester, UK) explains how the UK database can be used to inform commissioning of mitral valve services.

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Mitral valve surgery commissioning

S Ray (Manchester, UK) argues for the development of valve centres of excellence, based on the recommendations in guidelines.

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Minimally invasive mitral surgery discussion

This is a panel discussion following a state of the art mitral valve surgery session.

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Mini mitral for bileaflet prolapse

H Vanermen (Brussels, Belgium) describes the principles of minimally-invasive mitral valve repair for bi-leaflet prolapse, before giving video demonstrations of his techniques.

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Building a MIS solution

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Total antegrade perfusion in minimally invasive surgery

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Mitral valve infective endocarditis

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Early intervention in mitral valve surgery

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