Transaortic Repair of the Mitral Valve in Patients Undergoing Aortic Valve Replacement

Abstract

Transaortic edge-to-edge repair of the mitral valve in patients undergoing AVR is feasible. The postoperative improvement in MR was maintained at the midterm follow-up.

Transaortic Mitral Valve Repair in Double Valve Infective Endocarditis

“…The Alfieri stitch has been used for patients undergoing aortic valve replacement with concomitant mitral valve regurgitation originating from P2 and A2 prolapse. Transaortic edge‐to‐edge repair of the mitral valve in patients undergoing aortic valve replacement is feasible and the postoperative improvement in mitral valve regurgitation is maintained at midterm follow‐up 6 . There are only a few reports in the literature of transaortic complex mitral valve repair.…”

“…Transaortic edge-to-edge repair of the mitral valve in patients undergoing aortic valve replacement is feasible and the postoperative improvement in mitral valve regurgitation is maintained at midterm follow-up. 6 There are only a few reports in the literature of transaortic complex mitral valve repair. We present a case of a transaortic mitral valve repair in double valve infective endocarditis.…”

Outcomes of transaortic edge-to-edge repair of the mitral valve in patients undergoing minimally invasive aortic valve replacement

“…Radical approaches to the difficult mitral valve through sternotomy have included azygos division with superior vena cava mobilization, 1 superior vena cava transection, 2 and the superior transseptal approach. 3,4 Drawbacks to these approaches include loss of azygos venous drainage, possible stenosis of the reconstructed superior vena cava, and possible sinoatrial node dysfunction. 3,5 In a difficult mitral case, however, possible transient sinus node dysfunction is a small trade-off in light of the generally excellent exposure the transseptal exposure provides, and so this approach has become relatively common.…”

“…3,4 Drawbacks to these approaches include loss of azygos venous drainage, possible stenosis of the reconstructed superior vena cava, and possible sinoatrial node dysfunction. 3,5 In a difficult mitral case, however, possible transient sinus node dysfunction is a small trade-off in light of the generally excellent exposure the transseptal exposure provides, and so this approach has become relatively common. Occasionally, though, even the transseptal incision does not provide good mitral exposure through a sternotomy.…”

“…This risk may be reduced by performing a transaortic edge-to-edge repair of the mitral valve during the AVR. [1][2][3][4][5] We describe how to perform this procedure and report our results of using this approach during minimally invasive valve surgery.…”