Course 2: Mitral Valve Repair

Course Directors: Gorav Ailawadi, Charlottesville, VA, and Harold Roberts Jr, Aventura, FL

COMMERCIAL RELATIONSHIPS   G. Ailawadi: Consultant/Advisory Board, Abbott Vascular, Edwards Lifesciences Corporation, Mitralign, Inc.; Speakers Bureau/Honoraria, St. Jude Medical, Inc.; H. Roberts, Jr., Research Grant, Medtronic, Inc.

Surgical correction for mitral valve disease can often be a technical challenge and requires a thorough understanding of the pathophysiology for any given patient. Recent data have suggested equivalent short-term outcomes comparing repair to replacement in the setting of severe ischemic mitral regurgitation (MR). Meanwhile, an alarmingly high rate of replacement is performed in patients with degenerative MR, particularly with bileaflet and anterior leaflet prolapse. Finally, the armamentarium for the surgeon now includes less invasive approaches, such as robotic mitral valve surgery and percutaneous mitral repair with the MitraClip system.

This course will provide hands-on experience with total chordal-sparing mitral valve replacement, papillary muscle sling for ischemic MR, MitraClip procedure, posterior leaflet techniques, bileaflet prolapse techniques, and robotic mitral surgery.

Participants will practice advanced mitral valve repair guided by international leaders in advanced open and minimally invasive/robotic repair. The objective is to guide participants in performing mitral valve surgery for a broad range of pathologies, as well as the complete approaches to the mitral valve.

Learning Objectives
Upon completion of this activity, participants should be able to:

  • Describe approaches to ischemic MR, including performing a complete chordal sparing mitral valve replacement
  • Explain technical options for repair in posterior, anterior, and bileaflet pathologies
  • Develop an understanding of less invasive options for mitral valve disease, including robotic surgery and percutaneous mitral repair (MitraClip)

Please watch the video below containing background information and lecture materials associated with this course.

Please note: No CME credit is associated with the viewing of web-based content. This presentation was created for The Society of Thoracic Surgeons STS University courses, and STS retains sole rights to these materials.