OBJECTIVE To detail robotic procedure development and clinical applications for mitral valve, biliary, and gastric reflux operations, and to implement a multispecialty robotic surgery training curriculum for both surgeons and surgical teams. SUMMARY BACKGROUND DATA Remote, accurate telemanipulation of intracavitary instruments by general and cardiac surgeons is now possible. Complex technolog...

Mitral valve disease is quite variable and can occur as an isolated defect or in association with other complex left sided lesions. These lesions are often best described with detailed pre-operative imaging studies to define the valve anatomy and to access associated left heart disease. Depending on the type of mitral valve disease, various surgical repair techniques have led to improved surviv...

Background: Valve-in-Valve (VIV) Transcatheter Aortic Valve Replacement (TAVR) is now the treatment of choice in high-surgical-risk patients with failing aortic bioprosthesis. Although less performed, VIV-Transcatheter Mitral Valve Replacement (TMVR) is a valid treatment option for selected high-risk patients with degenerated mitral bioprostheses. Several cases of elective ViVTAVR and -TMVR hav...

Transcatheter valve implantation is a novel interventional technique, which was developed as an  alternative therapy for surgical aortic valve replacement in inoperable patients with severe aortic stenosis. Despite limited experience in using transcatheter valve implantation for mitral and aortic regurgitation, transapical transcatheter aortic valve implantation and valve-in-valve implantation ...

OBJECTIVES The study aimed to evaluate the feasibility of off-pump transapical mitral valve-in-ring implantation and to test the performance of a custom-made self-expandable stent valve, in comparison with the standard SAPIEN valve. METHODS Acute experiments were performed in five pigs. Animals (mean weight 58.4 ± 7.3 kg) underwent mitral valve annuloplasties under cardiopulmonary bypass usin...

BackgroundThe influence of preoperative clinical, hemodynamic, and surgical procedures on long-term prognosis after combined aortic and mitral valve surgery is not well studied. Methods and ResultsOne hundred seventy patients who underwent surgery for chronic combined aortic and mitral valvular disease between 2004 and 2014 were followed up for an average of 5.3 years. The perioperative mortali...

BACKGROUND The purpose of this article is to document the clinical features of the unusual mitral valve myxoma based on the literature of recent years. METHODS A literature retrieval of the mitral valve myxoma reported in recent years was made using the MEDLINE and EMBASE databases. The clinical information about this unusual disorder was collected and analyzed. RESULTS Mitral valve myxoma ...

Valvular heart disease is the common cardiac manifestation of systemic lupus erythematosus (SLE) with a tendency for mitral valve regurgitation. In this study we report a case of mitral valve replacement for mitral stenosis caused by Libman-Sacks endocarditis in the setting of SLE. In addition, we provide a systematic review of the literature on mitral valve surgery in the presence of Libman-Sa...

Introduction Mitral regurgitation (MR) is associated with an increase in mortality in patients with left ventricular dysfunction1, and more recently has also been associated with increased cardiac events even in asymptomatic patients2. The combination of a desire to improve survival as well as quality of life in symptomatic subjects accounts for the approximately 100,000 mitral valve operations...

We report a case of mitral valve prolapse associated with infective endocarditis and heart failure, which required surgical intervention. Mitral valve repair was successfully performed and resulted in complete recovery of the patient.