Live-in-a-box: Ross procedure
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. 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.
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. 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
Prof. Ruggero De Paulis
MVT Aortic 2022, vol.1
– First and foremost, not all bicuspid aortic valves are the same
– Many post-operative measurements and goals are included within to help guide you to optimal patient outcomes
– Check out the insight provided about valve-sparing, valve repair, external annuloplasty, and more
Prof. Alessandro Della Corte
MVT Aortic 2022, vol.1
– New classification system and nomenclature of bicuspid aortic valve (and bicuspid aortic valve disease)
– Genes are important, but a single gene may contribute to fewer than 1% of cases
– Different valve repair techniques according to valve phenotype
Prof. Marjan Jahangiri
MVT Aortic 2022, vol.1
– Pay attention to comorbidities, the anticoagulation choice may not as simple as it seems
– Be aware of the limitations of the currently available studies, question them in a logical manner
Prof. Joseph Bavaria
MVT Aortic 2022, vol.1
Prof. Michael Borger
MVT Aortic 2022, vol.1
-The “aortic size paradox”: an interesting paradox, indeed
-Length? Diameter? Which should we pay more attention to?
-Be sure to pay attention to genetics, biomarkers, abnormal flow, other risk factors, and more
Prof. Friedhelm Beyersdorf
MVT Aortic 2022, vol.1
– Guidelines: based on scientific data, not an individual hospital’s, country’s, or region’s practices.
– It’s important to truly understand the recommendations and evidence classifications.
–Pay attention to the details in phrasing.