Total Thoracoscopic Surgery for Late Mitral Paravalvular Leakage Repair in A Beating Heart

Liu, Huanan; Liao, Shengjie; Lin, Zhaoming; Zhang, Xiaoshen

doi:10.21470/1678-9741-2020-0692

Cited by 1 publication

(1 citation statement)

References 9 publications

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“…The disease spectrums covered by this technique range from mitral or tricuspid valve dysfunction, congenital heart defects such as atrial septum defects (ASD), incomplete endocardial cushion defects, partial anomalous pulmonary venous drainage, cardiac tumors, and hypertrophic obstructive cardiomyopathy (HOCM) with left ventricular outflow tract obstruction [ 2 ]. This minimal port-access approach has been successfully applied to rescue technical complications including occluder device failure and migration during percutaneous closure of ASDs [ 3 ], failed mitral valve clip device implantation [ 4 ] and paravalvular leakage after primary mitral valve replacement [ 5 ]. Combined cardiac procedure using TVTCS have resulted in less bleeding than from staged procedures [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

Multimodality Cardiovascular Imaging for Totally Video-Guided Thorascopic Cardiac Surgery

Jiang,

Huang,

Yin

et al. 2024

Rev. Cardiovasc. Med.

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Totally video-guided thorascopic cardiac surgery (TVTCS) represents one of the most minimally invasive access routes to the heart. Its feasibility and safety can be guaranteed by an experienced surgeon with skilled operative techniques under the guidance of a video signal via thoracoscopy and the imaging from transesophageal echocardiography. At present, this surgical approach has been applied for atrioventricular valve disease, atrial septum defects plus and partial anomalous pulmonary venous drainage, cardiac tumors, hypertrophic obstructive cardiomyopathy, aortic valve disease, and atrial fibrillation. Multimodality cardiovascular imaging, including echocardiography, X-ray, computed tomography (CT), magnetic resonance imaging (MRI) and cardiac catheterization, provides morphologic characteristics and function status of the cardiovascular system and a comprehensive view of the target anatomy. In this review, the benefits of multimodality cardiovascular imaging are summarized for the clinical practice of TVTCS, including the preoperative preparation, intraoperative guidance and postoperative supervision. The disease categories are also individually reviewed on the basis of multimodality cardiovascular imaging, to ensure the feasibility and safety for TVTCS. Cardiovascular imaging technologies not only confirm who is a candidate for this surgical technique, but also provide technical support during the procedure and for postop follow to assess the clinical outcomes. Multimodality cardiovascular imaging is instrumental to provide the requirements to solve the problems for conduction of TVTCS; and to provide individualized protocols with high-resolution and real-time dynamic imaging fusion.

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