Recent Developments and Evolving Techniques of Mitral Valve Reconstruction Frank C Spencer, Aubrey C Galloway, Eugene A Grossi, Greg H Ribakove, Julie.

Slides:

Advertisements

Similar presentations

Cardiac Anatomy.

Advertisements

The radial procedure for atrial fibrillation

James L. Cox, MD, Robert D. B. Jaquiss, MD, Richard B

Total Artificial Heart Replacement With 2 Centrifugal Blood Pumps

Senning Operation Jaroslav Stark

Long-term results of irrigated radiofrequency modified maze procedure in 200 patients with concomitant cardiac surgery: six years experience Hauw T Sie,

Minimally invasive technology for mitral valve surgery via left thoracotomy: experience with forty cases Paul C Saunders, MD, Eugene A Grossi, MD, Ram.

Atrial switch operation: past, present, and future

The First Cardiac Operation Using Cardiopulmonary Bypass

Late Occurrence of Atrial Arrhythmias After the Simple Left Atrial Procedure for Chronic Atrial Fibrillation in Mitral Valve Surgery Taijiro Sueda, MD,

James L. Cox, MD, John P. Boineau, MD, Richard B

Morphologic features of atrioventricular septal defect with only ventricular component: Further observations pertinent to surgical repair Iki Adachi,

Tricuspid Valve Repair for Ebstein's Anomaly

Supra-Annular Mitral Valve Replacement in Children

Sitaram M. Emani, MD, Pedro J. del Nido, MD

Complete Atrioventricular Canal: Comparison of Modified Single-Patch Technique With Two-Patch Technique Carl L. Backer, MD, Robert D. Stewart, MD, Frédérique.

Closure of muscular ventricular septal defects guided by en face reconstruction and pictorial representation Kothandam Sivakumar, DM, Sivadasan Radha.

George Gogoladze, MD, Sophia L

Cox-Maze III Procedure With Mitral Valve Repair

Mitral valve replacement after late failure of mitral valve repair

Individualized total cavopulmonary connection technique for patients with Asplenia syndrome Ryo Aeba, MD, Toshiyuki Katogi, MD, Kenichi Hashizume, MD,

Minimally Invasive Aortic and Mitral Valve Operation

The Standard Maze-III Procedure

Single-stage anatomical repair of complete atrioventricular canal, double-outlet right ventricle, and cor triatriatum using ventricular septal defect.

Dennis M. Mello, MD, John Fahey, MD, Gary S. Kopf, MD

Repair of Postinfarction Ventricular Septal Defect

Mustard Operation William G. Williams

Repair of primum ASD with cleft mitral valve

Surgical Approach to Left Ventricular Inflow Obstruction Due to Dilated Coronary Sinus Florentino J. Vargas, MD, Jorge Rozenbaum, MD, Ricardo Lopez, MD,

Radial approach: a new concept in surgical treatment for atrial fibrillation I. Concept, anatomic and physiologic bases and development of a procedure

In the Footsteps of Senning: Lessons Learned From Atrial Repair of Transposition of the Great Arteries Ali Dodge-Khatami, MD, PhD, Alexander Kadner,

Management of Neonatal Ebstein's Anomaly

Hemi-Fontan Procedure

Endocarditis with Involvement of the Aorto-Mitral Curtain

Joseph A. Dearani, MD, Sameh M. Said, MD, Harold M

Ischemic mitral valve reconstruction and replacement: Comparison of long-term survival and complications Eugene A. Grossi, MD, Judith D. Goldberg, ScD,

Atrial Switch Operation in a Patient With Dextrocardia, Bilateral Superior Vena Cavae, Left Atrial Isomerism and Unroofed Coronary Sinus Sachin Talwar,

Konno Procedure (anterior aortic annular enlargement) for Mechanical Aortic Valve Replacement Hiromi Kurosawa Operative Techniques in Thoracic and Cardiovascular.

Christopher J. Knott-Craig, MD, Steven P. Goldberg, MD, Edward D

Intra-Atrial Rerouting and Maze Procedure for an Adult Patient in Cor Triatriatum, Persistent Left Superior Vena Cava, and Atrial Fibrillation Koichi.

Concealed Left Ventricle to Right Atrium Fistula Complicating Infective Endocarditis Tatsushi Onzuka, MD, PhD, Shoji Morishige, MD, Yoshiyuki Yamashita,

Ventricularization of the atrialized chamber: A concept of Ebstein's anomaly repair Michael V. Ullmann, MD, Sabine Born, MD, Christian Sebening, MD, Matthias.

Carl L. Backer, MD, Osama Eltayeb, MD, Michael C. Mongé, MD, John M

Prophylactic Atrial Arrhythmia Surgical Procedures With Congenital Heart Operations: Review and Recommendations Constantine Mavroudis, MD, John M. Stulak,

Intraoperative radiofrequency maze ablation for atrial fibrillation: the Berlin modification Miralem Pasic, MD, PhD, Peter Bergs, MD, Peter Müller, MD,

The standard maze-III procedure1 1 This article was previously published in Operative Techniques in Thoracic and Cardiovascular Surgery 5:2–22, 2000 (doi:

Partial Sternotomy for Mitral Valve Operations

Anna Marciniak, PhD, Georgios T

Surgical repair of the congenitally malformed mitral valve in infants and children Elias A Zias, MD, Constantine Mavroudis, MD, Carl L Backer, MD, Lisa.

Clarifying the Surgical Morphology of Inlet Ventricular Septal Defects

Systemic Venous Rerouting Through the Coronary Sinus for ccTGA With Bilateral SVCs Satoshi Asada, MD, Masaaki Yamagishi, MD, PhD, Takako Miyazaki, MD,

Total Artificial Heart Replacement With 2 Centrifugal Blood Pumps

Repair of Ebstein’s anomaly in the symptomatic neonate: an evolution of technique with 7-year follow-up Christopher J. Knott-Craig, MD, Edward D. Overholt,

Repair of congenital tricuspid valve abnormalities with artificial chordae tendineae V.Mohan Reddy, MD, Doff B McElhinney, MD, Michael M Brook, MD, Norman.

Atrial fibrillation surgery simplified with cryoablation to improve left atrial function Jae Won Lee, MD, Suk Jung Choo, MD, Kun Il Kim, MD, Jae Kwan.

Arrhythmia surgery for atrial fibrillation associated with atrial septal defect: Right-sided maze versus biatrial maze Yu-Mi Im, MS, Joon Bum Kim, MD,

Management of Catheter-Related injuries to the coronary sinus

Minimally invasive versus sternotomy approaches for mitral reconstruction: Comparison of intermediate-term results Eugene A. Grossi, MD, Angelo LaPietra,

P.Michael McFadden, John L Ochsner The Annals of Thoracic Surgery

Localized Pericardial Hematoma Presenting With Acute Hypoxemia

The role of atrial vessels in aortic root and mitral valve operations

Toward a Definitive, Totally Thoracoscopic Procedure for Atrial Fibrillation John Sirak, MD, Danielle Jones, RN, Benjamin Sun, MD, Chittoor Sai-Sudhakar,

Transcaval Correction of Partial Anomalous Pulmonary Venous Drainage Into the Superior Vena Cava Mohamed Nassar, MD, Virginie Fouilloux, MD, Loïc Macé,

Alternative Technique for the Ostium Primum Defect Repair: A Free Wall Flap of Right Atrium Massimo Massetti, MD, Gerard Babatasi, MD, Eugenio Neri,

Simple surgical isolation of pulmonary veins for treating secondary atrial fibrillation in mitral valve disease1 Renato A.K Kalil, MD, PhD, Gustavo G.

Preservation of Anterior and Posterior Leaflet in Mitral Valve Replacement With a Tilting- Disc Valve Joong H Choh The Annals of Thoracic Surgery Volume.

Roland Fasol, MD, Katja Mahdjoobian, MD The Annals of Thoracic Surgery

Right ventricle-sparing heart transplant: promising new technique for recipients with pulmonary hypertension John A Elefteriades, MD, Costantinos J Lovoulos,

Absence of Posterior Mitral Leaflet With Secundum Atrial Septal Defect

Divided Left Atrium (Cor Triatriatum) in the Setting of Common Atrium

Presentation transcript:

Recent Developments and Evolving Techniques of Mitral Valve Reconstruction Frank C Spencer, Aubrey C Galloway, Eugene A Grossi, Greg H Ribakove, Julie Delianides, F.Gregory Baumann, Stephen B Colvin The Annals of Thoracic Surgery Volume 65, Issue 2, Pages 307-313 (February 1998) DOI: 10.1016/S0003-4975(97)01101-6

Fig. 1 Figs. 1–3 are illustrated from the surgeon’s perspective, with the patient’s head to the left. The first incision follows the dotted line from the mid-lateral wall of the right atrium over the right atrial appendage to the superior end of the interatrial septum, with care taken to leave a margin of atrial tissue toward the atrioventricular groove to facilitate closure. The solid arrow on the dome of the left atrium indicates the course of the left atrial incision, which is made after the septal incision (Fig. 2) joins the right atrial incision. Depending on the size of the right atrium, the right atrial incision can begin at any point along the line indicated. When the atrium is large, the incision can be confined to the trabecular portion of the atrium. (Reprinted with permission from Smith CR. Septal-superior exposure of the mitral valve. The transplant approach. J Thorac Cardiovasc Surg 1992;103:623–8.) The Annals of Thoracic Surgery 1998 65, 307-313DOI: (10.1016/S0003-4975(97)01101-6)

Fig. 2 The dotted line indicates the course of the septal incision, which is made after the right atrium is opened (Fig. 1), beginning in the foramen ovale. The incision should be placed closer to the posterior limbus, to give the coronary sinus and posteromedial corner of the mitral annulus a wider protective margin of anterior septal tissue. At a point roughly opposite the orifice of the right superior pulmonary vein, the incision deviates anteromedially through the anterior limbus and the thick muscle of the superior septum to meet the right atrial incision (Fig. 1). In most patients the sinus node artery is divided where it lies in the muscle of the superior septum (visible in Fig. 3). (Reprinted with permission from Smith CR. Septal-superior exposure of the mitral valve. The transplant approach. J Thorac Cardiovasc Surg 1992;103:623–8.) The Annals of Thoracic Surgery 1998 65, 307-313DOI: (10.1016/S0003-4975(97)01101-6)

Fig. 3 The left atrium is opened beginning at the junction of the septal and right atrial incisions and is extended across the left atrial dome toward the base of the left atrial appendage. A margin of atrial tissue must remain on the side of the atrioventricular groove to allow closure. The divided ends of the sinus node artery are illustrated in the muscle of the superior septum. (Reprinted with permission from Smith CR. Septal-superior exposure of the mitral valve. The transplant approach. J Thorac Cardiovasc Surg 1992;103:623–8.) The Annals of Thoracic Surgery 1998 65, 307-313DOI: (10.1016/S0003-4975(97)01101-6)

Fig. 4 Prolapsing anterior mitral valve leaflet. The Annals of Thoracic Surgery 1998 65, 307-313DOI: (10.1016/S0003-4975(97)01101-6)

Fig. 5 Triangular resection of prolapsing anterior mitral leaflet. The Annals of Thoracic Surgery 1998 65, 307-313DOI: (10.1016/S0003-4975(97)01101-6)

Fig. 6 Suturing of defect in anterior mitral leaflet after triangular resection. The Annals of Thoracic Surgery 1998 65, 307-313DOI: (10.1016/S0003-4975(97)01101-6)

Fig. 7 Defect in prolapsing mural mitral valve leaflet after quadrangular resection of leaflet. Instead of plicating the annulus, point A on the leaflet is moved toward point a on the annulus and point B on the leaflet is moved toward point b on the annulus, as shown in Fig. 8. The Annals of Thoracic Surgery 1998 65, 307-313DOI: (10.1016/S0003-4975(97)01101-6)

Fig. 8 Folding of margins of resected mural leaflet toward the annulus. The Annals of Thoracic Surgery 1998 65, 307-313DOI: (10.1016/S0003-4975(97)01101-6)

Fig. 9 Suturing of resected margins of mural leaflet to the mitral annulus and to each other. The Annals of Thoracic Surgery 1998 65, 307-313DOI: (10.1016/S0003-4975(97)01101-6)