A journey from resect to respect to restore: aiming at optimal physiological surgical mitral valve repair. Issue 1 (January 2023)

• Record Type: Journal Article
• Authors: Mastro, Florinda; Angelini, Annalisa; D'Onofrio, Augusto; Gerosa, Gino
• Is Part Of: Journal of cardiovascular medicine. Volume 24:Issue 1(2023)
• Page Start: 1
• Page End: 11
• Publication Date: 2023-01
• Subjects: mitral valve -- Micro-invasive -- Neochord -- mitral valve repair -- Resect, Respect -- Restore; Cardiology -- Periodicals; Cardiovascular system -- Diseases -- Periodicals; Cardiology -- Periodicals; Cardiovascular Diseases -- Periodicals; 616.1005
• DOI: 10.2459/JCM.0000000000001390
• Languages: English
• ISSNs: 1558-2027

Abstract

Abstract : The concept of 'repairing' a degenerated mitral valve in order to restore the native competence means achieving the best physiological result coupled with the least invasive approach: this represents an interesting challenge for cardiac surgeons. The evolution of cardiac surgery through the years has involved techniques and technologies in every field of interest. From 'resect', to 'respect', to 'restore': the micro-invasive approach based on Neochord implant implies a transapical beating heart surgery which is based on the concept of implanting artificial chordae, preserving the physiological dynamics of the mitral annulus and avoiding the disadvantages of cardiopulmonary bypass and cardioplegic arrest of the heart.