FMR surgical options: when and how to operate?

February 14, 2023

Prof. Thilo Noack

MVT Intermediate Course 2022

Dr. Lucia Torracca

MVT Intermediate Course 2022

Dr. Giacomo Bianchi

MVT Intermediate 2022 Course

Dr. Joseph Zacharias

MVT Intermediate 2022 Course

Prof. Michael Borger

MVT Intermediate 2022 Course

Dr. Thourani

Edwards Lifesciences at EACTS 2022: Aortic valve disease: Patient centric management in elderly population

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.

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. 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. Marjan Jahangiri

MVT Aortic 2022, vol.1

– Shorter time to extubation, shorter length of stay, shorter hospital stays

– Pre-operative strategies to enhance post-operative and follow-up outcomes

– Don’t forget to pay attention to the intra-operative details and work with the entire Heart Team for optimal patient outcomes

Prof. Marco Di Eusanio

MVT Aortic 2022, vol.1

– Minimally invasive: much more than just a small cut

– Already achieved a low mortality rate? Set new goals for new targets related to patient quality of life.

– Always consider… Do you need to be cautious with the sternum? Is the patient obese? Are you an experienced surgeon? Don’t forget to perform an Angio CT scan.

Prof. Bart Meuris

MVT Aortic 2022, vol.1

-Cosmesis vs clinical benefit? Cross-clamp times? Extra costs? Have you thought about these aspects before?

-What about less pain? Less blood loss? Shorter ICU stays? Lower rates of atrial fibrillation? Remember, there are always pros and cons.

-If combined procedures are necessary, minimally invasive can be a choice in experienced centers

Prof. Augusto d’Onofrio

MVT Aortic 2022, vol.1

– Valve-in-valve, TAVI in TAVI, SAVR after TAVI… familiarize yourself with the mid-to-long-term data for each valve type combination, and transparently inform the patients of not only the benefits but also the risks

– Even the experts say, extracting an infected TAVI is extremely difficult, so be sure to choose the original valve wisely

Prof. Dreyfus – MVT Intermediate 2021

Prof. Suwalski – MVT Intermediate 2021

Prof. Dreyfus – MVT Intermediate 2021

Prof. Van Praet – MVT Intermediate 2021

Dr. Mangino – MVT Intermediate 2021

Prof. Benussi – MVT Intermediate 2021