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International Society For Minimally Invasive Cardiothoracic Surgery

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A Solution To MAC: Mitralring As Landing Zone For Transcatheter Mitral Valve Implantation
Nikolaos Bonaros1, Daniel Hoefer1, Adel Sakic1, Peter Mair1, Guy Friedrich1, Silvana Müller1, Michael Grimm1, Jörg Kempfert2, Ludwig Mueller1
1Innsbruck Medical University, Innsbruck, Austria, 2German Heart Center Berlin, Berlin, Germany

Mitral annular calcification is a major surgical challenge in patients requiring mitral procedures due to the risk of atrioventricular dehiscence. We describe a detailed technique of open mitral valve replacement using an annuloplasty ring to serve as landing zone for transatrial delivery of a balloon-expandable transcatheter valve. In this video we describe the steps of the procedure and provide trick to avoid paravelvular regurgitation and obstruction of the left ventricular outflow tract.


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