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Minimally Invasive Mitral Valve Repair/Replacement

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Essentials of Operative Cardiac Surgery

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Abstract

Video-assisted minimally invasive mitral valve repair through a mini-thoracotomy was described 25 years ago, and it is now the “standard” approach in many expert mitral valve repair centers. The technique is safe and efficient and its superiority to conventional sternotomy has been demonstrated in terms of postoperative bleeding, ICU and length of hospital stays. Results of the technique still remain dependent on the surgeon mastering the technique despite a steep learning curve.

In the following manuscript, we provide a comprehensive description of our surgical protocol. The promotion of a standardized protocol is a key element to ease the coordination of the anesthesia, nursing and surgical teams. A dedicated instrumentation is required. A percutaneous and bilateral femoral cannulation is always performed. The surgical access (anterolateral right mini-thoracotomy) is essential and drives the valvular access. Some simple maneuvers must be used to obtain a perfect valvular exposure, which is necessary in order to apply dedicated mitral valve repair techniques.

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Abbreviations

MIMVS:

Minimally invasive mitral valve surgery

PMR:

Primary Mitral Regurgitation

TEE:

Transesophageal echocardiogram

TTE:

Transthoracic echocardiogram

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Disclosure

Daniel Grinberg: N/A

Benoît Cosset: N/A

Matteo Pozzi: N/A

Jean-Francois OBADIA received:

  • Research support: Boeringher, Abbott, Medtronic, Edwards

  • Consulting Fees/Honoraria: Edwards, Abbott, Medtronic, Servier, Novartis

  • Royalty Income: Landanger, Delacroix-Chevalier

Author information

Authors and Affiliations

  1. Department of Cardiovascular Surgery, Hopital Cardiologique Louis Pradel, Lyon Medical School, Bron, Lyon, France

    Daniel Grinberg, Benoît Cosset, Matteo Pozzi & Jean François Obadia

Authors
  1. Daniel Grinberg
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  2. Benoît Cosset
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  3. Matteo Pozzi
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  4. Jean François Obadia
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Editor information

Editors and Affiliations

  1. National Heart and Lung Institute, Faculty of Medicine, Imperial College London, London, England, UK

    Prakash P. Punjabi

  2. National Heart and Lung Institute, Faculty of Medicine, Imperial College London, London, England, UK

    Panagiotis G. Kyriazis

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Grinberg, D., Cosset, B., Pozzi, M., Obadia, J.F. (2022). Minimally Invasive Mitral Valve Repair/Replacement. In: Punjabi, P.P., Kyriazis, P.G. (eds) Essentials of Operative Cardiac Surgery. Springer, Cham. https://doi.org/10.1007/978-3-031-14557-5_11

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  • DOI: https://doi.org/10.1007/978-3-031-14557-5_11

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-14556-8

  • Online ISBN: 978-3-031-14557-5

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