Transapical NeoChord mitral valve repair
Andrea Colli, MD, David Adams, MD, Alessandro Fiocco, MD, Nicola Pradegan, MD, Lorenzo Longinotti, MD, Matteo Nadali, MD, Dimosthenis Pandis, MD, Gino Gerosa, MD
Transapical off-pump mitral valve repair (MVr) with NeoChord implantation has become widely applied in Europe for patients presenting with severe mitral regurgitation due to leaflet prolapse or flail. The procedure is performed under real-time 2D- and 3D-transesophageal echocardiography (TEE) for both implantation and neochordae tension adjustment allowing real-time monitoring of hemodynamic recovery. Preoperative anatomic and echocardiographic selection criteria, procedure refinement, as well as innovative ex-vivo surgical simulator training have been developed and strategically employed in the past few years, to generate a robust precision-based procedural framework with significantly enhanced operator use, patient safety and clinical outcomes. The procedure has evolved into a reproducibly successful and safe approach, which complements existing surgical treatment strategies available to eligible patients with chronic severe degenerative mitral regurgitation.
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Publications
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Professor Ajit P. Yoganathan, PhD: "From bench to bedside": Celebrating his contributions to cardiac surgery with an honorary fellowship from the American Association for Thoracic Surgery
Pedro Del Nido, MD, David H. Adams, MD -
Surgical and Transcatheter Mitral Valve Replacement in Mitral Annular Calcification: A Systematic Review
Sophia Alexis, Aaqib Malik, Ahmed El‐Eshmawi, Isaac George, Aditya Sengupta, Susheel Kodali, Rebecca Hahn, Omar Khalique, Syed Zaid, Mayra Guerrero, Vinayak Bapat, Martin Leon, David H. Adams, and Gilbert Tang -
Review of frozen elephant trunk repair with the Thoraflex Hybrid device
Vincent Chauvette, MD, Maral Ouzounian, MD, Jennifer Chung, MD, Mark Peterson, MD, Munir Boodhwani, MD, Ismail El-Hamamsy, MD, François Dagenais, MD, Matthew Valdis, MD, Michael W A Chu, MD -
Risk factors for recurrence of aortic regurgitation after aortic valve repair
Vincent Chauvette, MD, Elbert E Williams, MD, Ismail El-Hamamsy, MD