On‐Pump Beating Heart Mitral Valve Surgery without Cross‐Clamping the Aorta

@article{Katrcolu2008OnPumpBH,
  title={On‐Pump Beating Heart Mitral Valve Surgery without Cross‐Clamping the Aorta},
  author={Salih Fehmi Katırcıoğlu and Ferit Çiçekçioğlu and Ufuk Tutun and Ali Parlar and Seyhan Babaroğlu and Ufuk Mungan and Ayşen Aksoyek},
  journal={Journal of Cardiac Surgery},
  year={2008},
  volume={23}
}
Abstract  Background and Aim: Cardiac reperfusion injury is a well‐described complication occurring after ischemia or following cardioplegic arrest. Various strategies have been developed to prevent ischemic reperfusion injury. The aim of this study was to assess the efficacy and applicability of the on‐pump beating heart mitral valve surgery without cross‐clamping the aorta in order to prevent reperfusion injury. Methods: The prospective study (between April 2005 and December 2006) included 88… 
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TLDR
These findings were the basis for using beating heart technique for mitral valve replacement, Aortic cross-clamping, Cardioplegia, and reperfusion injury leads to myocardial ischemia and is a critical issue in mitral valves surgery despite novel approaches to my cardiac protection.
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TLDR
A 64-year-old male patient with severe mitral regurgitation and dilated cardiomyopathy is described, and it is believed that, particularly in patients with poor left ventricular functions, beating heart mitral valve surgery may be advantageous.
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TLDR
The experience suggests that beating‐heart mitral valve surgery is facilitated by using the trans‐septal approach, and its advantages and pitfalls are discussed.
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TLDR
The paper of Katircioglu et al. does not reflect current practices for mitral valve operations and their technique could not apply without having some additional changes to mitral repair, so the question is whether to skip the well-accepted water-leaking test or what to do.
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TLDR
There is a need for a high quality, prospective, randomized control trial to establish the exact role for BHCCP in complex valve surgery, as there is weak evidence that it may reduce functional and biochemical markers of myocardial injury.
Leakage test during mitral valve repair
TLDR
Intraoperative assessment of a competency of the repaired mitral valve before closure of the atrium is an important step in accomplishing successfulMitral valve repair.
Beating heart versus conventional mitral valve surgery.
TLDR
It is concluded that beating heart MVS can be performed successfully, particularly for patients at higher risk which will lead to increased morbidity and mortality in postoperative period.
Does on-pump normothermic beating-heart valve surgery with low tidal volume ventilation protect the lungs?
TLDR
Inflammation and oxidative stress markers were lower in the group of patients who underwent beating-heart valve surgery with low-volume ventilation, reflecting less of an ischemic insult and lower inflammation compared with the results for the patients who undergo conventional operations.
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