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Related Concept Videos

Mitral Stenosis III: Medical Management01:26

Mitral Stenosis III: Medical Management

20
Mitral stenosis, a condition marked by the narrowing of the mitral valve, necessitates an integrated approach for effective management. This approach includes preventative measures, medical therapy, and surgical interventions to reduce symptoms and prevent complications.PreventionPrevention of mitral stenosis primarily focuses on reducing the incidence of bacterial infections, particularly streptococcal infections, which can lead to rheumatic fever and subsequent valvular damage. Timely...
20
Mitral Regurgitation III: Medical Management01:25

Mitral Regurgitation III: Medical Management

27
Mitral regurgitation (MR) is characterized by retrograde blood circulation from the left ventricle into the left atrium due to inadequate mitral valve closure. The severity of the condition, symptoms, and underlying cause determine treatment strategies.Monitoring and Pharmacological TreatmentPatients with mild to moderate MR typically do not need immediate intervention but regular monitoring to assess progression and guide treatment. Patients with mild MR should have an echocardiogram every 3-5...
27
Mitral Stenosis I: Introduction01:22

Mitral Stenosis I: Introduction

33
Mitral Valve Stenosis (MVS) is a heart condition where the mitral valve narrows, impeding blood circulation from the left atrium to the left ventricle. The etiology and pathophysiology of this condition are multifaceted, leading to a cascade of cardiovascular complications.Causes of Mitral Valve StenosisRheumatic Heart Disease: It is the main cause of mitral valve stenosis, particularly in developing nations. This condition arises from rheumatic fever, an inflammatory illness resulting from...
33
Mitral Stenosis IV: Nursing Management01:27

Mitral Stenosis IV: Nursing Management

35
A comprehensive nursing assessment is essential for patients with valvular heart disease, which involves any dysfunction of the heart valves that could impact blood flow and overall heart function.Subjective Data Collection:Chief Complaint and Present Illness: Start with the patient's primary concerns, focusing on the onset, duration, and progression of cardiac symptoms such as dyspnea, fatigue, chest pain, and palpitations.Past Medical History: Collect detailed information on any previous...
35
Mitral Valve Prolapse II: Assessment and Management01:22

Mitral Valve Prolapse II: Assessment and Management

39
IntroductionA range of clinical features characterizes Mitral Valve Prolapse (MVP), but it is important to note that many individuals with MVP are asymptomatic and may remain so throughout their lives. For those who do exhibit symptoms, the following are the key clinical features:Palpitations: This is a common symptom where individuals feel an irregular or rapid heartbeat. Palpitations in MVP are often due to arrhythmias such as premature ventricular contractions or supraventricular...
39
Mitral Valve Prolapse I: Introduction01:27

Mitral Valve Prolapse I: Introduction

37
IntroductionThe mitral valve, one of the heart's four valves, regulates blood flow. These valves have flaps that open and close to direct blood properly through the heart and body. During each heartbeat, the flaps open for blood to pass through and seal shut to prevent backflow. Specifically, the mitral valve opens to allow blood flow from the heart's upper left chamber to the lower left chamber. It then closes securely as the lower left chamber contracts to pump blood to the body, preventing...
37

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Related Experiment Video

Updated: Sep 7, 2025

Fully Endoscopic Mitral Valve Repair with Percutaneous Cannulation of Groin Vessels
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Robotic mitral valve surgery after prior sternotomy.

Talia G Meidan1, Allison T Lanfear1, John J Squiers1

  • 1Baylor Scott & White Research Institute, Baylor Scott & White The Heart Hospital - Plano, Plano, Tex.

JTCVS Techniques
|June 17, 2022
PubMed
Summary

Robotic mitral valve surgery in patients with prior sternotomy is safe and feasible. This minimally invasive approach offers a viable option for experienced surgeons, demonstrating good outcomes and low complication rates.

Keywords:
CABG, coronary artery bypass graftLOS, length of stayMR, mitral regurgitationmitral valveprior sternotomyredo sternotomyreoperationrobotic mitral valve surgery

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Area of Science:

  • Cardiovascular Surgery
  • Minimally Invasive Surgery
  • Robotic Surgery

Background:

  • Minimally invasive mitral valve surgery is increasingly used.
  • Outcomes of robotic mitral valve surgery after prior sternotomy remain underexplored.

Purpose of the Study:

  • To evaluate the safety and feasibility of robotic mitral valve surgery in patients with a history of sternotomy.

Main Methods:

  • Retrospective review of 342 patients undergoing mitral valve surgery post-sternotomy.
  • Detailed analysis of 21 patients who underwent robotic mitral valve surgery.

Main Results:

  • No conversions to alternative approaches or intraoperative deaths occurred.
  • 90.5% achieved complete elimination of mitral regurgitation.
  • 30-day mortality was 0%, 1-year mortality was 4.8%, with no strokes or infections.

Conclusions:

  • Robotic mitral valve surgery is safe and feasible in patients with prior sternotomy when performed by experienced surgeons.
  • This approach can be considered a viable option, challenging previous contraindications.