Serratus Anterior Plane Block for Transapical Off-Pump Mitral Valve Repair With NeoChord Implantation

Transapical off-pump mitral valve repair with Neochord Implantation (TOP-MINI): step-by-step guide.

Department of Cardiac, Cardiac Surgery Unit, Thoracic and Vascular Sciences, University of Padua, Padova, Italy; Department of Cardiothoracic Surgery, Mount Sinai Medical Center, New York, USA; Department of Medicine, Institute of Anesthesia, University of Padua, Padova, Italy Correspondence to: Andrea Colli, MD, PhD, FECTS. Department of Cardiac, Thoracic and Vascular Sciences, University of P...

Off-pump transapical mitral valve-in-ring 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...

Feasibility of anterior mitral leaflet flail repair with transapical beating-heart neochord implantation.

A 91-year-old man was referred following congestive heart failure with acute pulmonary edema that was medically treated. Echocardiography revealed the presence of severe mitral regurgitation (MR) as a result of chordal rupture on the anterior leaflet at the level of the A2 segment (Figures 1A to 1C, Online Videos 1, 2 and 3). He presented with a history of arterial hypertension, hypothyroidism,...

One-stage off-pump transapical mitral valve repair and aortic valve replacement.

Off-pump transapical balloon-expandable aortic valve endoprosthesis implantation.

OBJECTIVE The aortic valve replacement is a routine procedure, and involves replacement of the native valve/prosthesis. In most of the patients who undergo such procedure the risk is acceptable, but in some cases, such risk can justify contraindication. The minimally invasive transcatheter aortic valve implantation without cardiopulmonary bypass (CPB) has been shown to be viable, with lower mor...