Microinvasive mitral valve repair with transapical mitral neochordae implantation

Emma Bergonzoni; Augusto D'Onofrio; Florinda Mastro; Gino Gerosa

doi:10.3389/fcvm.2023.1166892

Microinvasive mitral valve repair with transapical mitral neochordae implantation

Front Cardiovasc Med. 2023 Jul 28:10:1166892. doi: 10.3389/fcvm.2023.1166892. eCollection 2023.

Authors

Emma Bergonzoni^#¹, Augusto D'Onofrio^#¹, Florinda Mastro¹, Gino Gerosa¹

Affiliation

¹ Cardiac Surgery Unit, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padua, Padua, Italy.

^# Contributed equally.

Abstract

Microinvasive cardiac surgery includes procedures performed off-pump, on the beating heart, with limited or absent skin incision, and those that rely on live imaging techniques. Transapical off-pump beating heart neochordae implantation allows the repair of severe mitral valve regurgitation due to leaflet prolapse or flail with live three-dimensional echo guidance. This procedure has shown good results for up to 5 years and can be considered as a valid alternative to conventional surgery in selected patients with high prediction of success based on clinical and anatomical considerations. The aim of this review is to describe the devices, indications, patient screening process, clinical and echocardiographic results, and future perspectives of this procedure.

Keywords: microinvasive cardiac surgery; mitral valve repair; transapical mitral valve repair; transapical neochord implantation; transcatheter neochord implantation.

Publication types

Review