Course 6: Mitral Valve Repair

Course Directors: Vinay Badhwar, Pittsburgh, PA, and Aubrey C. Galloway, New York, NY

COMMERCIAL RELATIONSHIPS   A. C. Galloway: Other, Edwards Lifesciences, valve technology (Intuity Valve) development and IP, Medtronic, Inc., royalties for IP for valve repair products

Surgical correction for complex bileaflet or anterior leaflet disease can often be a technical challenge. Handling annular calcium and leaflet fusion or restriction can be particularly demanding when focused on a repair objective. Obtaining, interpreting, or performing intraoperative transesophageal echocardiographic assessment when necessary is critical to the effective planning of advanced mitral repairs. This course will provide hands-on experience with the following:

1) Mitral valve analysis and interpretation, including hands-on performance of transesophageal echocardiography
2) Bileaflet repair techniques for mitral leaflet prolapse using resectional and neochordal techniques
3) Anterior leaflet techniques, including chordal relocation and leaflet augmentation
4) Repair using the thoracoscopic minimally invasive thoracotomy approach
5) Repair using the robotic-assisted minimally invasive approach

Participants will practice advanced mitral valve repair guided by expert faculty who are international leaders in advanced open and minimally invasive/robotic repair. The objective is to guide participants in performing mitral valve repair for a broad range of pathologic subsets, encompassing both simple and more complex disease with a particular focus on hands-on experience.

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

  • Recall and identify mitral anatomy with attention to the pitfalls associated with complex pathology
  • Review the basic technical aspects of transesophageal echocardiographic performance and interpretation
  • Review technical aspects and options for focal posterior leaflet pathology
  • Review technical aspects and options for anterior leaflet, bileaflet degenerative, and restrictive pathology

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.