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Fully Endoscopic Mitral Valve Repair with Percutaneous Cannulation of Groin Vessels
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Sutureless 3f Enable valve implantation concomitant with mitral valve surgery
Marco Vola1, Vito Giovanni Ruggieri2, Salvatore Campisi2
1Cardiovascular Surgery Unit, Cardiovascular Diseases Department, University Hospital, Saint-Etienne, France marco.vola@univ-st-etienne.fr.
Interactive Cardiovascular and Thoracic Surgery
|May 10, 2015
Summary
Sutureless aortic valve replacement with the 3f Enable prosthesis is feasible alongside mitral valve surgery. This combined approach shows encouraging results for high-risk patients, simplifying procedures.
Area of Science:
- Cardiovascular Surgery
- Prosthetic Valve Technology
- Minimally Invasive Cardiac Procedures
Background:
- Growing interest in sutureless aortic bioprostheses.
- Need for effective solutions in high-risk patients undergoing concomitant mitral valve surgery.
Purpose of the Study:
- Evaluate the feasibility of aortic sutureless valve replacement using the 3f Enable prosthesis concurrently with mitral valve surgery.
- Assess procedural success and early outcomes.
Main Methods:
- Retrospective analysis of 15 patients undergoing concomitant aortic sutureless valve implantation (3f Enable) and mitral valve surgery (replacements or annuloplasty).
- Procedures performed between March 2011 and October 2014.
- Data collection on procedural times, complications, and early hemodynamic performance.
Main Results:
- 100% procedural success for aortic sutureless valve implantation.
- Mean cross-clamp and bypass times: 113.9 ± 35 min and 150 ± 43 min.
- No perioperative mortality; 6.6% pacemaker implantation rate. No new paravalvular leaks on follow-up.
Conclusions:
- Aortic sutureless valve implantation with the 3f Enable prosthesis is feasible in conjunction with mitral valve surgery.
- The procedure offers a potentially simpler surgical option for high-risk patients.
- Further larger studies are warranted to validate these encouraging findings.
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