|
Please note
- actual heart surgery is presented. Content may be graphic for
some viewers. Video pages may take a moment to load.
Minimally
invasive mitral valve repair surgery
video by A.
Marc Gillinov, M.D.
- The
minimally invasive surgery is the current standard of care for patients
with mitral valve disease.
- This
mitral valve
surgery video shows a minimally invasive valve repair in a patient
with mitral valve disease.
- This
video focuses on the surgical approach and shows the mitral valve with
a myxomatous mitral valve leaflet, elongated chordae and ruptured chordae.
It does not review the actual repair.
(video
length - approx. 7 minutes)
Mitral
valve repair by sliding leaflet repair
video by A.
Marc Gillinov, M.D.
- The
sliding repair technique is employed to repair posterior leaflet prolapse
and prevent systolic anterior motion (SAM).
- When
the posterior leaflet is tall, there is an increased risk of SAM. SAM
can cause obstruction (blockage) of the outflow of blood from the left
ventricle as the long anterior mitral valve leaflet bows into the septum
(muscular wall dividing the heart).
- The
sliding leaflet repair prevents this complication.
- A
post op transesophageal echo reveals no leaflet prolapse, no regurgitation
(leak), and no SAM.
(video length
- approx. 9 minutes)
Valve
Surgery Video: Repair of Anterior Leaflet Prolapse with Artificial Chordae
video
by A.
Marc Gillinov, M.D.
- Anterior
mitral valve leaflet prolapse is challenging to repair
- This
video shows a mitral valve repair using premeasured
artificial gortex chordae.
- Visualization
of the mitral valve shows a flail anterior leaflet due to ruptured chordae.
- The ruptured chordae
are removed.
- New chordae are
placed using artificial gortex chordae attached from the anterior leaflet
to the papillary muscle.
- An annuloplasty
ring is placed to provide additional support to the valve.
(video
length - approx. 7.5 minutes)
Mitral valve repair by chordal transfer
to treat anterior leaflet prolapse
video by A.
Marc Gillinov, M.D. and Delos
Cosgrove, M.D.
- Chordal transfer
is a technique to repair anterior leaflet prolapse. The chordae are
transferred from the posterior leaflet to the anterior leaflet. Then,
the posterior leaflet is repaired by quadrangular resection or sliding
leaflet repair method as described above.
- Placement
of the annuloplasty band completes the repair.
- A
post op transesophageal echo reveals no anterior leaflet prolapse and
only trivial regurgitation (leak).
- Chordal
transfer offers a successful option for anterior leaflet prolapse,
with 10 year freedom from reoperation greater than 90 percent.
(video length - approx.
6 minutes)
Mitral
valve repair by quadrangular resection of posterior leaflet resection
video by A.
Marc Gillinov, M.D.
- This video shows
posterior leaflet resection for posterior leaflet prolapse. When the
posterior leaflet chords (chordae) are elongated or ruptured, we resect
that portion of the posterior leaflet and abnormal chords and then place
an annuloplasty ring.
- The opening echo
frames show prolapse of the posterior leaflet and, by color flow doppler,
a jet of mitral regurgitation.
- At the end, the
echo shows no prolapse and only trivial MR.
Aortic
Valve Replacement with Carpentier Edwards Pericardial Valve
- Traditional Approach
performed by Delos
Cosgrove, M.D., narrated by A.
Marc Gillinov, M.D
This
aortic valve replacement video shows traditional
heart surgery to replace the aortic valve.
(video
length - approx. 5 minutes)
Minimally
invasive aortic valve replacement surgery
video by A.
Marc Gillinov, M.D. and Delos
Cosgrove, M.D.
- The
minimally invasive approach is the current standard of care for the
patient with isolated aortic valve disease
- This
aortic valve replacement video shows
a minimally invasive valve replacement in a 60 year old male with bicuspid
aortic valve disease.
- After
a partial sternotomy, and visualization of the aortic valve, the valve
leaflets and calcium deposits are removed.
(video
length - approx. 8 minutes)
Minimally
Invasive Video-Assisted Mitral Valve Repair
video by Jose
Navia, M.D.
This
video shows mitral valve repair using a minimally-invasive video assisted
technique, which allows for a much smaller incision.
(video length - approx.
4:40 minutes)
Frequently
asked questions about heart surgery - learn
answers from our world renowned
heart surgeons about valve surgery, and more!
Mitral valve repair — A conversation with Dr. Gillinov
video by A. Marc Gillinov, M.D. and Cathy Keilar R.N., Nurse Practice Manager
Dr. Gillinov has special expertise in minimally invasive mitral valve surgery and Cathy is an experienced cardiothoracic surgery nurse, who works with patients before surgery. Together, they provide the answers to questions that patients commonly have before mitral valve surgery.
(video length - approx. 6 minutes)
Read transcripts of - or participate in - live web chats with our heart surgeons!
|
