Edge-to-Edge Mitral Repair From a Surgical to a Percutaneous Approac
This is the first comprehensive review of the edge-to-edge technique for mitral repair, which was introduced into the surgical armamentarium in 1991 by one of the authors, Ottavio Alfieri. The surgical technique employed in edge-to-edge repair today prov
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Edge-to-Edge Mitral Repair
Ottavio Alfieri • Michele De Bonis Giovanni La Canna Editors
Edge-to-Edge Mitral Repair From a Surgical to a Percutaneous Approach
Editors Ottavio Alfieri Department of Cardiac Surgery San Raffaele Hospital Milan Italy
Giovanni La Canna Department of Cardiac Surgery San Raffaele Hospital Milan Italy
Michele De Bonis Department of Cardiac Surgery San Raffaele Hospital Milan Italy
ISBN 978-3-319-19892-7 ISBN 978-3-319-19893-4 DOI 10.1007/978-3-319-19893-4
(eBook)
Library of Congress Control Number: 2015946864 Springer Cham Heidelberg New York Dordrecht London © Springer International Publishing Switzerland 2015 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. Printed on acid-free paper Springer International Publishing AG Switzerland is part of Springer Science+Business Media (www.springer.com)
Foreword
This book on edge-to-edge mitral valve repair represents a remarkable compendium because it is organized and edited by the inventor of the technique and incorporates a perspective that has been shaped by two decades of development. This path of development has been controversial, sparking debates about the optimal methods for surgical repair for mitral regurgitation (MR) and serving as the basis for the beginning of the new field of percutaneous therapy for MR. All of these issues are contained and addressed within this text, which is unique for its depth on this subject. The surgical edge-to-edge technique gave rise to percutaneous edge-to-edge with the MitraClip. Remarkably, the visibility of percutaneous repair has raised awareness of the utility of surgical edge-to-edge among the surgical community. I have been interested to see many surgeons, who were often highly critical of the edge-to-edge repair, come to adopt the use of surgical edge-to-edge when conventional annuloplasty is insufficient, with recognition that edge-to-edge can be a predictor of better surgical outcomes than isolated annuloplasty. A greater understanding of
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