Clinical Updates on Heart Valve Repair or Replacement Surgery

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Cardiology".

Deadline for manuscript submissions: 31 May 2024 | Viewed by 942

Special Issue Editor


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Guest Editor
1. Department of Cardiac Surgery and Transplantology, National Medical Institute of the Ministry of Interior and Administration, Wołoska 137 Str, 02-507 Warsaw, Poland
2. Cardio-Thoracic Surgery Department, Heart and Vascular Centre, Maastricht University Medical Centre, Cardiovascular Research Institute Maastricht (CARIM), 6229 HX Maastricht, The Netherlands
Interests: coronary revascularization; neuroprotection; surgical ablation; minimally invasive cardiac surgery
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Special Issue Information

Dear Colleagues,

Valve repairs, rather than replacements, have gained wide attention and are being increasingly adopted whenever such an approach is safe and feasible. In selected cases, valve surgeries are increasingly being performed with minimally invasive techniques that earlier were associated with limited surgical incision only. Nowadays, “minimally invasive” includes thoracoscopic, transcatheter, robotic, etc. Valve surgeries are performed faster, maintaining the durability of repairs and safety of the sternotomy approach. At the same time, they allow patients’ early recovery, more effective rehabilitation, and lower morbidity; in some higher risk individuals, these benefits may translate to lower mortality as well.

In this Special Issue, you are invited to share your experience with advancements in the field of valvular surgery, with a particular focus on:

  • Diagnosis and planning: preoperative and intraoperative imaging;
  • Training in minimally invasive valve surgery;
  • Novel techniques including transcatheter-, robotic-, beating heart-, minimized ECC, and hybrid approaches to both isolated and combined valve surgery;
  • Procedural workflow and procedural challenges;
  • Tackling “hostile” anatomy in a minimally invasive setting;
  • Minimally invasive surgery for complex valve scenarios;
  • Postoperative care, safety, and patients’ outcomes.

Dr. Mariusz Kowalewski
Guest Editor

Manuscript Submission Information

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Keywords

  • valve surgery
  • valve repair
  • valve replacement
  • minimally invasive surgery
  • robotic cardiac surgery
  • thoracoscopic cardiac surgery
  • minimally invasive techniques

Published Papers (1 paper)

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Research

11 pages, 2245 KiB  
Article
A Comparative Study of 1-Year Postprocedural Outcomes in Transcatheter Mitral Valve Repair in Advanced Primary Mitral Regurgitation: PASCAL vs. MitraClip
by Felix Rudolph, Johannes Kirchner, Maria Ivannikova, Vera Fortmeier, Tanja Katharina Rudolph, Kai Peter Friedrichs, Volker Rudolph and Muhammed Gerçek
J. Clin. Med. 2024, 13(2), 484; https://doi.org/10.3390/jcm13020484 - 16 Jan 2024
Viewed by 673
Abstract
Both the MitraClip and PASCAL systems offer transcatheter edge-to-edge repair (TEER) solutions for mitral regurgitation. Evidence indicates a lower technical success rate for TEER in complex degenerative mitral regurgitation (DMR) cases. We conducted a retrospective analysis of patients who underwent transcatheter edge-to-edge therapy [...] Read more.
Both the MitraClip and PASCAL systems offer transcatheter edge-to-edge repair (TEER) solutions for mitral regurgitation. Evidence indicates a lower technical success rate for TEER in complex degenerative mitral regurgitation (DMR) cases. We conducted a retrospective analysis of patients who underwent transcatheter edge-to-edge therapy for primary mitral regurgitation with advanced anatomy, defined as mitral regurgitation effective regurgitant orifice area (MR-EROA) ≥0.40 cm2 or large flail gap (≥5 mm) or width (≥7 mm) or Barlow’s disease, that completed follow-up after 1 year. Our criteria were met by 27 patients treated with PASCAL and 18 with MitraClip. All patients exhibited a significant, equivalent short-term reduction in MR-EROA, mitral regurgitation vena contracta diameter (MR-VCD), regurgitant volume, and clinical status. At 1 year follow-up, reductions in MR-VCD, regurgitant volume, and MR-EROA remained significant for both groups without significant differences between groups. MR-Grade ≤ 1+ was achieved in 18 (66.7%) and 10 (55.6%) patients, respectively. At follow-up, no difference in hospitalization for cardiac decompensation was observed. Overall death was similar in both groups. Our study suggests that both the PASCAL and MitraClip systems significantly reduce mitral regurgitation even in advanced degenerative diseases. Within our limited data, we found no evidence of inferior performance of the PASCAL system. Full article
(This article belongs to the Special Issue Clinical Updates on Heart Valve Repair or Replacement Surgery)
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