MO67. Mini Mitral Simulation Simplified

Jennifer Perri Case Video Presenter
UCSF Medical Center
San Francisco, CA 
United States
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Jenni Perri grew up in Short Hills, NJ. She graduated first in the Millburn High School Class of 2005, the same public high school attended by her mother and aunt. In 2009 she received a B.A. degree from Princeton University and was inducted into the Phi Beta Kappa academic honor society. Additionally, she won first place at the Princeton Undergraduate Research Symposium interdisciplinary research competition for her senior thesis entitled, "Lake Mead and Its Battle with Destiny: How to Forestall the Inevitable," and was the recipient of the Charles M. Cannon prize for best thesis presentation in the Department of Ecology and Evolutionary Biology. Following Princeton, Jenni attended Columbia University earning both medical and M.B.A. degrees as part of a dual degree offered track. Her medical training continued at Dartmouth-Hitchcock Medical Center in the integrated vascular surgery residency, the first program of its kind in the country.

During the five year vascular surgery residency Jenni received numerous research awards including first place at the International Society of Vascular Surgery Resident Podium Competition in 2015 for her presentation, "Factors Predictive of Outcome When Crossing a Chronic Total Occlusion," 2015 recipient of the Deterling Award in recognition of her outstanding original paper presentation at the New England Society of Vascular Surgery annual meeting entitled, "Disparity in Medicaid Physician Payments for Vascular Surgery," and 2019 winner of the resident/fellow Interesting Case Competition at the Frank J. Veith Society Meeting for her presentation and original video entitled, "The Dartmouth FEVAR."

Jenni looks forward to working and living in San Francisco while a Cardiothoracic Surgery fellow at UCSF. At the conclusion of the fellowship her goal is to combine the skills honed in vascular and cardiac surgery in order to fulfill her dream of becoming an accomplished Cardiovascular Surgeon.

Friday, May 5, 2023: 7:55 AM - 8:00 AM
Minutes 
New York Hilton Midtown 
Room: Petit Trianon 

Description

Objective: The purpose of this video is to illustrate the basic construction and use of a low cost, low fidelity simulator to be built by the trainee for in-home preparation in minimally invasive mitral valve repair surgery. To achieve technical proficiency, trainees must demonstrate competence with long shafted instruments before performing valve repair. The primary goal is to simulate every stitch that will be placed.

Case video summary: A simulator is constructed using a standard tissue box and three foam sheets at the box base. A drawn template is created to serve as a basis for placement of six suture types: pericardial retraction stitches, antegrade cardioplegia u-stitch, left ventricular vent u-stitch, annulus stitch, neochords, and left atriotomy closure. Practicing with long shafted instruments, the trainee can perfect needle angle, improve efficiency, and minimize errors. Simulation time from start to finish, and number of technical errors should be recorded for each iteration to set goals and achieve deliberate practice.

Conclusion: Using an inexpensive and low fidelity model, every suture step of a minimally invasive mitral valve repair can be replicated. The goal is to allow frequent practice and flatten the learning curve. Unlike all existing models, this setup allows practice of every suture step, critical in the trainee's ability to progress through the entire operation.

Presentation Duration

3-minute presentation; 2-minute discussion 

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