The edge-to-edge technique as a trick to rescue an imperfect mitral valve repair

Gatti, Giuseppe; Cardu, Gabriele; Trane, Rosanna; Pugliese, Peppino

doi:10.1016/s1010-7940(02)00524-9

Cited by 16 publications

(9 citation statements)

References 17 publications

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“…The E‐to‐E technique has also been used as a “rescue” procedure in patients with significant residual MR after conventional mitral repair. Gatti and coworkers reported the adoption of this strategy in 11 patients 23 . At intraoperative echocardiography, residual MR improved from 3.0 ± 0.8 cm 2 , after conventional repair, to 0.7 ± 0.9 cm 2 after the rescue E‐to‐E stitch (p = 0.00014).…”

Section: Current Indications and Surgical Resultsmentioning

confidence: 99%

“…Gatti and coworkers reported the adoption of this strategy in 11 patients. 23 At intraoperative echocardiography, residual MR improved from 3.0 ± 0.8 cm 2 , after conventional repair, to 0.7 ± 0.9 cm 2 after the rescue E-to-E stitch (p = 0.00014). The stitch was placed at the site of the regurgitant jet according to the echocardiographic findings.…”

Section: Miscellaneous Conditionsmentioning

confidence: 90%

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The Role of the Edge-to-Edge Repair in the Surgical Treatment of Mitral Regurgitation

Alfieri

Bonis

2010

Journal of Cardiac Surgery

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The edge-to-edge (E-to-E) technique was introduced in the early 1990s and has provided a useful contribution to the surgical armamentarium of mitral valve repair. The free edges of the mitral leaflets have to be approximated in correspondence of the site of the regurgitant jet in such a way that mitral regurgitation is corrected without producing stenosis. A prosthetic ring is usually implanted to stabilize the repair. Middle- and long-term surgical results are now available. Appropriate indications and awareness of the important technical aspects of the procedure are prerequisites for a good outcome. In this review the present role of the E-to-E repair, the relevant technical aspects of the procedure, and some controversial issues will be outlined and discussed.

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Section: Current Indications and Surgical Resultsmentioning

confidence: 99%

Section: Miscellaneous Conditionsmentioning

confidence: 90%

The Role of the Edge-to-Edge Repair in the Surgical Treatment of Mitral Regurgitation

Alfieri

Bonis

2010

Journal of Cardiac Surgery

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“…The double-orifice technique, due to the intrinsic versatility and rapidity of its surgical gesture, which is not time-consuming, has proved to be a valid option even as a rescue procedure, which means to improve the initial suboptimal result of a conventional repair, when the attempt to save the valve becomes a "surgeon's nightmare". Gatti et al [32] described this strategy in 11 patients who underwent other repair techniques and a concomitant final rescue edge-to-edge for residual MR, thus reducing the jet area from 3.0 ± 0.8 cm 2 to 0.7 ± 0.9 cm 2 (P = 0.00014), and adding only 14.9 ± 2.8 min to the aortic cross-clamp times. Our experience has been very gratifying under those circumstances [33] .…”

Section: Rescue Edge-to-edgementioning

confidence: 99%

The Alfieri’s edge-to-edge technique for mitral valve repair: from a historical milestone of cardiac surgery to the origin of the transcatheter era

Belluschi¹,

Buzzatti²,

Castiglioni³

et al. 2020

Mini-invasive Surg

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After 30 years since its introduction, the edge-to-edge technique has become one of the most popular and adopted worldwide for surgical repair of mitral regurgitation. The success of this procedure could possibly be explained by its unique simplicity and high level of reproducibility. Indeed, it possesses the ability of being very versatile and it has been used in a wide spectrum of mitral valve pathologies and lesions: from degenerative to functional disease, from posterior to anterior leaflet lesions, including commissural defects. The rapidity of this easy surgical gesture has also enhanced its application in minimally invasive approaches. Finally, it has become a true milestone for the era of transcatheter correction of mitral regurgitation. Here, we describe the history and evolution of this breakthrough in the world of cardiac surgery.

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“…Satisfactory results have been reported with this approach in a preliminary small group of patients [15]. Under those circumstances, the original reconstruction is not taken down and the additional edge-to-edge suture is just added in correspondence to the site of the residual regurgitant jet.…”

Section: Rescue Edge-to-edgementioning

confidence: 99%

Edge-to-edge Alfieri technique for mitral valve repair

Bonis

Lapenna

Alfieri

2013

Current Opinion in Cardiology

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In mitral regurgitation competence of the mitral valve can be restored by using a 'functional' rather than a conventional 'anatomical' repair. This 'functional' repair is realized by means of the edge-to-edge technique that consists in suturing together the facing portions of the anterior and posterior mitral valve leaflets in correspondence to the location of the regurgitant jet. The edge-to-edge technique was introduced in the early 1990s and has provided a useful contribution to the surgical armamentarium of mitral valve repair. Appropriate indications and awareness of the important technical aspects of the procedure are prerequisites for a good outcome. In this review the present role of the edge-to-edge repair, particularly in terms of indications and contraindications, will be outlined and discussed.

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The edge-to-edge technique as a trick to rescue an imperfect mitral valve repair

Abstract: The E-to-E technique is a simple, rapid, effective, and durable option to reduce residual MI and rescue an imperfect conventional MVR.

Cited by 16 publications

References 17 publications

The Role of the Edge-to-Edge Repair in the Surgical Treatment of Mitral Regurgitation

The Role of the Edge-to-Edge Repair in the Surgical Treatment of Mitral Regurgitation

The Alfieri’s edge-to-edge technique for mitral valve repair: from a historical milestone of cardiac surgery to the origin of the transcatheter era

Edge-to-edge Alfieri technique for mitral valve repair

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