The present a case of a 55 year old male with known mitral valve insufficiency. By transesophageal echo the patient was found to have a ruptured chordae on the P2 segment of the posterior leaflet of the mitral valve. He underwent minimally invasive mitral valve repair via right thoracotomy.
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Valve Disease
August 1, 2011
This video shows newer techniques of aortic valve repair: commissural annuloplasty; central plication for prolapse; leaflet pericardial augmentation; and ultrasonic calcium debridement. Five cases are shown, over the spectrum of valve pathologies. Greater use of aortic valve repair seems indicated.
June 22, 2011
This new video demonstrates a valve sparing aortic root replacement procedure using a reimplantation technique in the setting of bicuspid aortic valve.
April 10, 2011
UPDATE: A follow-up video has been added that demonstrates how to manufacture the chordae system.
Through a port-access incision, this video demonstrates a technique for placing an echocardiographically pre-measured chordae system to properly suspend the whole of the prolapsed anterior leaflet to its normal level of coaptation.
June 27, 2010
Artificial chordal replacement allows repair of most bileaflet prolapse and Barlow's valves. This video, presented at the 2004 STS meeting, is still useful today as chords are being used more frequently.
March 24, 2010
This video illustrates new techniques for repair of rheumatic mitral stenosis and regurgitation that allow the majority of rheumatic valves to undergo satisfactory autologous reconstruction
November 4, 2009
This video demonstrates the technical aspects involved in a reoperative approach to the aortic root, ascending aorta and aortic arch. Cannulation strategies, pump management and valve/conduit choices are highlighted.
October 25, 2009
This video reviews techniques of artificial chordal replacement (ACR) as a component of complex mitral repair. A brief summary of ACR history is given, as well as basic techniques of ACR placement and length adjustment. Several cases then are presented, and operative videos are correlated with pre- and post-operative transesophageal echocardiograms.
June 15, 2009
This video shows the main surgical aspects of the Bentall-De Bono procedure with a new biological composite conduit. This is the case of a 76-year-old man with ascending aorta aneurysm and aortic valve cusp calcification. The composite conduit utilized for aortic root and aortic valve replacement is a prefabricated biological valve, called BioValsalva.
June 15, 2009
Percutaneous mitral repair using the MitraClip® system is a method derived from the edge-to-edge surgical procedure. The MitraClip® system replaces suturing with a clip to join the free edges of the opposing leaflets at the site of regurgitation.