MP57. Robotic Mitral Valve Repair for High and Hard Redundant P2 Prolapse
Presented During: Moderated E-Posters
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60s Female with severe mitral regurgitation.
Echo showed large thickened, calcified P2. Robotic MVr was planed.
Operative finding showed Large, 3cm in height, thickened and calcified posterior leaflet.
Resect and reduce the height of the valve along with slicing of the back side of the leaflet was performed, rather than neochordae.
Post-procedure TEE shows good coaptation and no residual regurgitation and no SAM. Remote follow up by TTE is excellent as well.
Thursday, May 4, 2023: 6:30 PM - Saturday, May 6, 2023: 2:29 AM
New York Hilton Midtown
Room: Grand Ballroom Foyer
Description
Objective
Robotic cardiac surgery is becoming widespread. According to the report, the number of facilities that perform complex procedures is increasing. It is necessary to examine whether appropriate procedures can be performed with robots for complex lesions.
Case Video Summary
The patient was a woman in her 60s with severe mitral regurgitation with heart failure symptoms. Trans-esophageal echocardiography showed redundant and calcified P2 prolapse of mitral valve. As surgery, valve slicing increased valve mobility, and height reduction was used to treat prolapse and prevent SAM. The treatment was effectively completed.
Conclusion
Even relatively complex mitral valve lesions can be treated with robotic surgery. We would like to expand the indication for robotic surgery further in the future.
Robotic cardiac surgery is becoming widespread. According to the report, the number of facilities that perform complex procedures is increasing. It is necessary to examine whether appropriate procedures can be performed with robots for complex lesions.
Case Video Summary
The patient was a woman in her 60s with severe mitral regurgitation with heart failure symptoms. Trans-esophageal echocardiography showed redundant and calcified P2 prolapse of mitral valve. As surgery, valve slicing increased valve mobility, and height reduction was used to treat prolapse and prevent SAM. The treatment was effectively completed.
Conclusion
Even relatively complex mitral valve lesions can be treated with robotic surgery. We would like to expand the indication for robotic surgery further in the future.