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Mitral Valve Surgery Videos
video by A. Marc Gillinov, MD
If you have mitral valve regurgitation, mitral valve prolapse, or a leaky heart valve and have been told you need heart surgery, you may have many questions.Dr. Gillinov has special expertise in minimally invasive mitral valve surgery and Cathy is an experienced cardiothoracic surgery nurse, who works with patients before surgery. Together, they provide the answers to questions that patients commonly have before mitral valve surgery.
video by A. Marc Gillinov, MD
- The minimally invasive surgery is the current standard of care for patients with mitral valve disease.
- This mitral valve surgery video shows a minimally invasive valve repair in a patient with mitral valve disease.
- This video focuses on the surgical approach and shows the mitral valve with a myxomatous mitral valve leaflet, elongated chordae and ruptured chordae. It does not review the actual repair.
(video length - approx. 7 minutes)
video by A. Marc Gillinov, MD
This video demonstrates a right mini-thoracotomy approach to mitral valve repair. It offers another option for patients with mitral valve disease . This approach leaves a small 6 cm. incision between the ribs on the right side of the chest.
(video length - approx. 7 minutes)
video by A. Marc Gillinov, MD
- The sliding repair technique is employed to repair posterior leaflet prolapse and prevent systolic anterior motion (SAM).
- When the posterior leaflet is tall, there is an increased risk of SAM. SAM can cause obstruction (blockage) of the outflow of blood from the left ventricle as the long anterior mitral valve leaflet bows into the septum (muscular wall dividing the heart).
- The sliding leaflet repair prevents this complication.
- A post op transesophageal echo reveals no leaflet prolapse, no regurgitation (leak), and no SAM.
(video length - approx. 9 minutes)
video by A. Marc Gillinov, MD
- Anterior mitral valve leaflet prolapse is challenging to repair
- This video shows a mitral valve repair using premeasured artificial gortex chordae.
- Visualization of the mitral valve shows a flail anterior leaflet due to ruptured chordae.
- The ruptured chordae are removed.
- New chordae are placed using artificial gortex chordae attached from the anterior leaflet to the papillary muscle.
- An annuloplasty ring is placed to provide additional support to the valve.
(video length - approx. 7.5 minutes)
video by A. Marc Gillinov, MD and Delos Cosgrove, MD
- Chordal transfer is a technique to repair anterior leaflet prolapse. The chordae are transferred from the posterior leaflet to the anterior leaflet. Then, the posterior leaflet is repaired by quadrangular resection or sliding leaflet repair method as described above.
- Placement of the annuloplasty band completes the repair.
- A post op transesophageal echo reveals no anterior leaflet prolapse and only trivial regurgitation (leak).
- Chordal transfer offers a successful option for anterior leaflet prolapse, with 10 year freedom from reoperation greater than 90 percent.
(video length - approx. 6 minutes)
video by A. Marc Gillinov, MD
- This video shows posterior leaflet resection for posterior leaflet prolapse. When the posterior leaflet chords (chordae) are elongated or ruptured, we resect that portion of the posterior leaflet and abnormal chords and then place an annuloplasty ring.
- The opening echo frames show prolapse of the posterior leaflet and, by color flow doppler, a jet of mitral regurgitation.
- At the end, the echo shows no prolapse and only trivial MR.
Robotically Assisted Mitral Valve Surgery Videos
- Robotically Assisted Repair of Mitral Valve Endocarditis - T Mihaljevic, MD, L Seto, MD, and M Gillinov, MD
- Cutting Edge Heart Surgery - Inside the Operating Room - M Gillinov MD, T Mihaljevic, MD
- Robotically Assisted Heart Surgery - New Approaches to Minimally Invasive Heart Surgery - T Mihaljevic MD
- Video Broadcast: Early Intervention in the Treatment of Mitral Valve Disease -
The Cleveland Clinic and Intuitive Surgical, Inc.- Moderator Julie Huang, M.D., staff cardiologist; Brian P. Griffin, MD, FACC, staff cardiologist; A. Marc Gillinov, M.D., staff cardiac surgeon; and Tomislav Mihaljevic, MD, staff cardiac surgeon discuss mitral valve prolapse, treatment options and surgery guidelines for asymptomatic patients. The panelists discuss the da Vinci® Mitral Valve Repair, minimally invasive, sternum-sparing procedure in detail, as a treatment option for asymptomatic mitral valve disease. (approx. 75 min - a new browser window will open with this link)
video by Jose Navia, MD
This video shows mitral valve repair using a minimally-invasive video assisted technique, which allows for a much smaller incision.
(video length - approx. 4:40 minutes)
Aortic Valve Surgery Videos
performed by Delos Cosgrove, MD, narrated by A. Marc Gillinov, MD
This aortic valve replacement video shows traditional heart surgery to replace the aortic valve.
(video length - approx. 5 minutes)
video by Lars Svensson MD, PhD
- Two percent of the population are affected by bicuspid aortic valve.
- Repairing a valve in a young patient is a good option
- This video shows the steps to repairing a bicuspid aortic valve in a patient who also has an aneurysm, utilizing a minimally invasive approach.
(video length - approx. 5 minutes)
video by A. Marc Gillinov, MD and Delos Cosgrove, MD
- The minimally invasive approach is the current standard of care for the patient with isolated aortic valve disease
- This aortic valve replacement video shows a minimally invasive valve replacement in a 60 year old male with bicuspid aortic valve disease.
- After a partial sternotomy, and visualization of the aortic valve, the valve leaflets and calcium deposits are removed.
(video length - approx. 8 minutes)
Two presentations by Lars Svensson, MD, PhD - geared toward Medical Professionals, but educational for everyone.
Frequently asked questions about heart surgery - learn answers from our world renowned heart surgeons about valve surgery, and more!
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If you need more information about valve surgery, contact us, chat online with a nurse or call the Miller Family Heart & Vascular Institute Resource & Information Nurse at 216.445.9288 or toll-free at 866.289.6911. We would be happy to help you.
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