Triple-orifice valve repair in severe Barlow disease with multiple-jet mitral regurgitation: Report of mid-term experience

Fucci, Carlo; Faggiano, Pompilio; Nardi, Matilde; D'Aloia, Antonio; Coletti, Giuseppe; Cicco, Giuseppe De; Latini, L.; Vizzardi, Enrico; Lorusso, Roberto

doi:10.1016/j.ijcard.2012.06.101

Cited by 9 publications

(7 citation statements)

References 25 publications

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“…Another important observation of this meta-analysis was that overall surgical volume (ie, number of patients) did not appear to influence early or late surgical outcomes. Comparing six low-volume studies (arbitrarily defined as fewer than 50 cases; one minimally invasive, 23 four sterntomy 7,8,13,19,20 ) with the rest of the cohort, there was no apparent effect of volume on the primary outcome in the meta-regression analysis.…”

Section: Random Effects Modelmentioning

confidence: 96%

“…Of 1122 articles that were retrieved for evaluation, 18 met the inclusion criteria, including one randomized controlled trial, one propensity score matching study, 11 single-arm sternotomy studies, and five single-arm minimally invasive studies (Supplemental Figure 1). 7,[8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24] There was 100% concordance between reviewers equating to a Cohen's k of 1. The mean sample size was 92.5 patients (range, 12 to 250) and the mean follow-up duration was 51.6 months (range, 14 to 138).…”

Section: Study Characteristicsmentioning

confidence: 99%

“…Heterogeneity: I 2 = 52%, τ 2 = 0.1985, p = 0.05 with this disease. 19 Fucci and colleagues 13 and De Bonis and colleagues 22 used edge-to-edge and ring approaches, the latter of which was used in both the minimally invasive and sternotomy groups. The present meta-analysis confirmed that the minimally invasive approach for mitral valve disease was associated with prolonged operation times in terms of CPB and CC times, but no worsening in clinical outcome.…”

Section: Random Effects Modelmentioning

confidence: 99%

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Minimal Access Versus Sternotomy for Complex Mitral Valve Repair: A Meta-Analysis

Moscarelli

Fattouch

Gaudino

et al. 2020

The Annals of Thoracic Surgery

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Background. There is high demand for minimally invasive mitral valve repair; however, it is unclear whether the minimally invasive approach provides the same performance as conventional sternotomy in a context of complex mitral valve disease. Here, we compared outcomes of minimally invasive and sternotomy procedures for bileaflet and Barlow's mitral valve disease.Methods. We performed a pooled meta-analysis of studies reporting early and late follow-up of mitral valve repair for complex mitral valve regurgitation. The primary outcome was moderate mitral valve regurgitation recurrence and need for reoperation. Secondary outcomes included operation time, reopening for bleeding, associated tricuspid procedures, failed repair, and inhospital mortality. Incidence rates were calculated for long-term follow-up. Effect estimates were calculated as incidence rates with 95% confidence intervals. When Kaplan-Meier curves were available, event rates were estimated from the curves with Plot Digitizer software;

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Section: Random Effects Modelmentioning

confidence: 96%

Section: Study Characteristicsmentioning

confidence: 99%

Section: Random Effects Modelmentioning

confidence: 99%

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Minimal Access Versus Sternotomy for Complex Mitral Valve Repair: A Meta-Analysis

Moscarelli

Fattouch

Gaudino

et al. 2020

The Annals of Thoracic Surgery

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“…Three-dimensional TEE is highly effective for observing the mitral complex structure [17]. Since Barlow's disease is characterized by multiple prolapse sites, the repair plan differs from that used for local prolapse, and various mitral valve repair techniques have been proposed [18][19][20][21][22][23]. No previous studies have used TEE to predict the annuloplasty ring size and artificial chordae length during robotic, beating heart surgery for Barlow's disease.…”

Section: Discussionmentioning

confidence: 99%

“…Third, TEE measurements were performed by a single expert, but different results may be obtained depending on the skill of the TEE operator. Inter-operator reproducibility is relatively low, and there is a difference in accuracy between experts and beginners [ 12 , 18 ]. Finally, the number of target patients was small.…”

Section: Discussionmentioning

confidence: 99%

Transesophageal echocardiography in robot-assisted mitral valve repair for Barlow’s disease: usefulness for predicting artificial ring size and artificial chordae length using the loop technique

et al. 2020

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Background: There is no fully recommended methodology for surgery for Barlow's disease. Various methods have been proposed. The aim of this study was to investigate the effectiveness of transesophageal echocardiography (TEE) measurements for selecting the optimal annuloplasty ring size and determining the length of artificial chordae in patients with Barlow's disease who underwent robot-assisted mitral valvuloplasty (R-MVP). Methods: Ten patients were included. Before R-MVP, the anesthesiologist used TEE to predict the optimal annuloplasty ring size and artificial chordae lengths that would reduce mitral regurgitation. The anesthesiolosist's predict ring size was not presented to the surgeon intraoperatively. Results: In 70% (7/10) of cases, the surgeon performed mitral valve repair in full match with the anesthesiologist's repair plan. Mitral regurgitation was controlled in 85% (6/7) of cases. In three cases, the predict annuloplasty ring size and artificial chordae length were not match between anesthesiologist and surgeon. After the operation, 90% (9/10) of patients had no residual mitral regurgitation. Conclusions: Anesthesiologist's TEE measurements were useful for selecting the optimal annuloplasty ring size and artificial chordae length during R-MVP. TEE can play an important role in robot-assisted, minimally invasive cardiac surgery for mitral regurgitation with extensive and complex prolapse, such as in Barlow's disease.

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The Early Phase of Clinical Application: Lessons Learned

Lorusso

Vizzardi

Gelsomino

2015

Edge-to-Edge Mitral Repair

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Triple-orifice valve repair in severe Barlow disease with multiple-jet mitral regurgitation: Report of mid-term experience

Cited by 9 publications

References 25 publications

Minimal Access Versus Sternotomy for Complex Mitral Valve Repair: A Meta-Analysis

Minimal Access Versus Sternotomy for Complex Mitral Valve Repair: A Meta-Analysis

Transesophageal echocardiography in robot-assisted mitral valve repair for Barlow’s disease: usefulness for predicting artificial ring size and artificial chordae length using the loop technique

The Early Phase of Clinical Application: Lessons Learned

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