Robot-assisted annuloplasty using a mitral band has a major issue: suturing is time consuming because knot tying is performed mechanically under endoscopic view. We suture the mitral band to the native valve by running sutures using the V-Loc barbed suture nonabsorbable wound closure device (Covidien, Mansfield, MA) with 3-0 monofilament. This technique allows rapid suturing of the band to the ...

1999;88:1205–12. 7. Troianos CA, Konstadt S. Evaluation of mitral regurgitation. Semin Cardiothorac Vasc Anesth 2006;10:67–71. 8. Cook RC, Nifong LW, Lashley GG, Duncan RA, Campbell JA, Law YB et al. Echocardiographic measurements alone do not provide accurate non-invasive selection of annuloplasty band size for robotic mitral valve repair. J Heart Valve Dis 2006;15:524–7. 9. Ender J, Koncar-Ze...

BACKGROUND The prevalence of mitral regurgitation in cardiac diseases requires annuloplasty systems that can be implanted without excessive patient burden. This study was designed to examine the morphological and functional outcome of a new double helix mitral annuloplasty ring in an ovine model in comparison to the classical Carpentier-Edwards (CE) annuloplasty ring as measured by reduction of...

Transcatheter mitral valve intervention has emerged as an effective treatment option for symptomatic severe mitral regurgitation in patients considered to be inoperable or at high operative risk for surgical mitral valve surgery. Most transcatheter approaches are modifications of existing surgical approaches. Transcatheter edge-to-edge mitral valve repair with the MitraClip system has the large...

Injury of the left circumflex coronary artery is a potentially serious complication of mitral valve surgery due to the proximity of the vessel to the posterior segment of the mitral annulus. Suture-related distortion of the artery with partial or subtotal occlusion is the most commonly implicated mechanism. Herein, we present a case of symptomatic iatrogenic circumflex coronary artery stenosis ...

Clinical results were evaluated 6 months to I4 years after mitral annuloplasty in 89 operative survivors. Before operation, 13 patients were grade 2, 63 grade 3, and I3 grade 4 (N. Y.H.A. classification). After operation all patients were improved symptomatically. Sixty-one patients were grade I, 27 grade 2, and I patient grade 3. Early clinical deterioration occurred in 5 patients, caused by d...

Mitral regurgitation (MR) is a frequent complication of end-stage heart failure. Historically, these patients were either managed medically or with mitral valve replacement, both associated with poor outcomes. Mitral valve repair via an 'undersized' annuloplasty repair is safe and effectively corrects MR in heart-failure patients. All of the observed changes contribute to reverse remodeling and...

A 74-year old patient underwent aortic valve replacement and mitral annuloplasty (Edwards Lifesciences Physioring, 34 mm). Five weeks post-surgery, he was readmitted because of heart failure due to a severe residual mitral regurgitation. Three-dimensional (3D) echocardiography clearly demonstrated the posterolateral area of dehiscence. He underwent successful surgical refixation (Fig. 1 and Sup...

Chronic ischemic mitral regurgitation is a prevalent problem among patients following a myocardial infarction. Until recently, the pathophysiology was poorly understood, resulting in surgical strategies with suboptimal results and limited durability. The surgical approach has evolved from revascularization alone to an additional mitral valve procedure, replacement, or repair. When the valve was...

A 48-year-old man with a medical history of hypertension was admitted with acute dyspnea and pyrexia. Echocardiographic examination revealed a dilated and volumeoverloaded left ventricle and severe mitral regurgitation due to ruptured chordae tendinae resulting in posterior leaflet prolapse. Blood cultures were negative. The patient was treated with antibiotics considering that he had a chest i...