At the 2013 STS Annual Meeting CTSNet hosted a video roundtable with important perspectives on how valve clinic programs can assist in combating undertreated valvular heart disease. The discussion was moderated by Mike Mack, MD.
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Mitral valve disease
February 13, 2013
March 7, 2012
Demonstrated in the video is a novel concept for facilitating extensive neochordal repair in mitral regurgitation based on the paradigm “respect rather than resect”. Both leaflet tissue and motion are respected. The leaflet is folded and the neochordae is tied, maintaining free margin and annulus edge-to-edge.
August 2, 2011
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.
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
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
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.
