Live-in-a-box: AVR following TAVI
Prof. Sabine Bleiziffer
MVT Aortic course 2022, vol.2
Prof. Stephan Ensminger
MVT Aortic course 2022, Vol.2
Dr. Girdauskas
MVT Aortic 2022, vol.2
Prof. Hermann Reichenspurner
MVT Aortic 2022, vol.2
– This video includes a comprehensive look at aortic valve repair, with topics ranging from repair techniques to remodeling techniques, including challenges, tips and tricks, and outcomes.
– David, Yacoub, Okazi, Ross, reimplantation, remodeling, annuloplasty, and more.
Prof. Jeroen Bax
MVT Aortic 2022, vol.2
– Valve Academic Research Consortium: created in 2010, updated in 2012, and updated again in 2021
– Get up to date regarding clinical endpoints.
– It’s not necessary to memorize it all, but to at least be familiar with all parts of the VARC-3 consensus.
Prof. Augusto D’Onofrio
MVT Aortic 2022, vol.2
– What’s less invasive than minimally-invasive surgery? Micro-invasive.
– The initial pros and cons of each approach are clear, but what about the outcomes?
– Don’t forget to implement Enhanced Recovery After cardiac Surgery (ERAS) protocols.
Prof. Michael Borger
MVT Aortic 2022, vol.2
Prof. Marjan Jahangiri
MVT Aortic 2022, Vol.2
– Plan well, plan ahead, and keep the patient’s best interests in mind.
– Be sure you keep detailed notes during the first SAVR procedure.
– To avoid coronary artery obstruction, it may be worth avoiding SAVR valves where the leaflets are externally wrapped around the struts.
Alexey Dashkevich
MVT Aortic 2022, Vol.2
– Is the patient 50-65 years old? Be sure to think about re-intervention, keep the guidelines in mind, and fully inform the patient.
– Which type of anticoagulation therapy should be used?
– Don’t forget, a Ross procedure may be an option.
Prof. Martin Andreas
MVT Aortic 2022, vol.2
– There are different centers and different techniques, but do they share the same outcomes?
– Be sure to catch his explanation about what makes decellularized heart valves so unique.
– Proper skills and robust training are key.
Prof. Marjan Jahangiri
MVT Aortic 2022, vol.2
– How do we decide between a Ross procedure or a modified Ross procedure? Who are the candidates, and what is their anatomy like?
– Perhaps most interesting, hear what she has to say about how and why we should be cautious when interpreting long-term results, even from large studies and meta-analyses.
– Advantages, disadvantages, complications, autograft failure predictors, and more!
Prof. Ruggero De Paulis
MVT Aortic 2022, vol.2
– Pros and cons of valve-sparing versus the pros and cons of biological or mechanical Bentall procedures
– Plenty of data with plenty of insights, get ready to take notes
– Experience and confidence reign supreme
– If relevant, don’t forget to plan for future valve-in-valve
Dr. Patrick Klein
MVT Aortic 2022, vol.2
– Listen to what he has to say about total aortic root replacement.
– How can we assess the durability and avoid adverse valve-related events when using mechanical and biological valves?
– Hear about his personal experience using new-generation biological valves in patients 57 ± 7 years old.
Dr. Dashkevich
MVT Aortic 2022, vol.2
– For a patient with endocarditis, should we consider a biological or mechanical prosthesis?
– Briefly see an interesting patient case, accompanied by detailed photos and explanations.
– Don’t forget to pay attention to the anterior mitral leaflet, and strongly consider your coronary reimplantation strategy.
Prof. Gino Gerosa
MVT Aortic 2022, vol.1
– From small, to mini, to micro: it’s how technology evolves nowadays, and cardiac surgery is no exception
– When embracing technology, don’t forget to keep ethics in mind and be unbiased
– Keep an open mind and embrace new developments, but don’t forget to critically analyze the data and make your own logical conclusions
Dr. Alisson Duncan
MVT Aortic 2022, vol.1
– PPM can be predicted and therefore, prevented
– How can we measure, normalize, and standardize various PPM-related assessments and risks?
– Make sure to consider the body surface area in relation to the transvalvular gradient, especially during physical activity or exercise
Prof. Augusto D’Onofrio
MVT Aortic 2022, vol.1
– Not only about hemodynamics, this lecture provides comparisons among three bioprostheses
– Similar clinical outcomes, better hemodynamic results, and shorter ICU stays for rapid deployment valves… but newer bioprosthesis tissue technology may raise the bar even higher
Prof. Sabine Bleiziffer
MVT Aortic 2022, vol.1
– A comprehensive lecture about the indications, technical aspects, and results of the rare but challenging procedure of TAVI explantation
– When looking at long-term data, acknowledge the high mortality rates and think about which era the original valves were implanted (technology and overall know-how)
– Be sure to totally familiarize yourself with the technology, implantation method, material, and design of the originally implanted valve
Prof. Ruggero De Paulis
MVT Aortic 2022, vol.1
– Many surgical options, very comprehensive, and very unbiased
– A redo-SAVR is not as simple as just “redoing” the procedure: beware of higher risk and more complex procedures
– Very clear 7-step removal process of the original valve prosthesis
-Pros and cons of different pledgets, suture techniques, valve positioning, valve sizing, and more
Prof. Alessandro Della Corte
MVT Aortic 2022, vol.1
– Patients with an “ascending” phenotype? A separate vale and ascending graft replacement procedure is an option
– Patients with a “root” phenotype? Consider addressing the root earlier (50 mm root diameter)
– Bentall is still the gold standard, but valve-sparing procedures have similarly good results
