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.

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

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

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. 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. 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. Marco Di Eusanio

MVT Aortic 2022, vol.1

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. Kempfert – MVT Intermediate 2021

Prof. Suwalski – MVT Intermediate 2021