Contemporary Surgical Treatment for Functional Mitral Regurgitation

Soh Hosoba, Riku Kato, Koji Morita, Masato Mutsuga

The treatment of functional mitral regurgitation (FMR) has evolved dramatically in recent years and remains dynamic. Generally, the treatment of FMR involves a combination of medication optimization and surgical or transcatheter interventions. The use of transcatheter edge-to-edge repair has been increasing for FMR. This less invasive approach allows for transcatheter mitral valve repair, avoiding open heart surgery. On the other hand, surgical mitral valve repair techniques, such as annuloplasty, still play a crucial role in managing FMR. Simultaneous surgical ablation for atrial fibrillation or left atrial appendage closure can be performed.

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Successful Repositioning of Left Ventricular Wire after Advancing Delivery System in a Transapical Transcatheter Aortic Valve Implantation Procedure: A Case Report

Yohei Nomura, Koichi Yuri, Yousuke Taniguchi, Tatsuro Ibe, Daijiro Hori, Manabu Shiraishi, Naoyuki Kimura, Hideo Fujita, Atsushi Yamaguchi

Objective:The wire route in the left ventricle (LV) is a key factor for successful transcatheter aortic valve implantation (TAVI). The transapical (TA) approach is the only antegrade approach in which valve crossing is usually easy.

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How Far Out-of-Range Smaller SAPIEN 3 Ultra RESILIA Valve Implantation with Overfilling Is Acceptable?

Katsunori Miyahara, Kenichi Ishizu, Shinichi Shirai, Tomohiro Suenaga, Ko Yamamoto, Akira Otani, Norihisa Miyawaki, Kenji Nakano, Tadatomo Fukushima, Euihong Ko, Yasuo Tsuru, Miho Nakamura, Toru Morofuji, Takashi Morinaga, Masaomi Hayashi, Akihiro Isotani, Nobuhisa Ohno, Shinichi Kakumoto, Kenji Ando

Objective: The repeatability of transcatheter aortic valve implantation (TAVI) is an important issue for younger patients or patients with early structural valve deterioration (SVD) concerns.

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