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Article ; Online: Mitral Valve Re-Repair Due to Chordal Pseudo-Elongation Through Repeated Right Anterior Minithoracotomy.

Celmeta, Bleri / Miceli, Antonio / Ferrarini, Matteo / Glauber, Mattia

Innovations (Philadelphia, Pa.)

2022 , Page(s) 15569845221130038

Abstract: Objective: We aim to show the step-by-step surgical technique of mitral valve re-repair by means of a repeated right anterior minithoracotomy in a case of a procedure-related early mitral valve repair failure due to left ventricular positive remodeling ... ...

Abstract	Objective: We aim to show the step-by-step surgical technique of mitral valve re-repair by means of a repeated right anterior minithoracotomy in a case of a procedure-related early mitral valve repair failure due to left ventricular positive remodeling and chordal pseudo-elongation. Methods: The patient was readdressed to our institution for an early severe mitral valve regurgitation, less than a year after performing a right minithoracotomy mitral valve repair (42-mm annular ring implantation, P2 triangular resection, and P2 neochord positioning). The mechanism was attributed to a positive left ventricle remodeling and neochordal pseudo-elongation. Therefore, we decided to perform a mitral valve re-repair in a redo minimally invasive cardiac surgery. We describe in a video-guided step-by-step fashion the surgical procedure, from the reopening of the right anterior minithoracotomy to the surgical strategy chosen to address the re-repair, guided by the mechanism of the previous repair failure. Results: We replaced the previously implanted ring with a smaller one and positioned a new polytetrafluoroethylene 4-0 neochord at the P2 level. The patient was discharged home on the fifth postoperative day after an uneventful hospital stay. Predischarge echocardiogram demonstrated undetectable residual mitral valve regurgitation. At 3-month follow-up, echocardiographic and clinical data were encouraging. At 9-month follow-up, the patient endorsed no recurrence of cardiologic symptoms. Conclusions: Redo minimally invasive cardiac surgery is a viable option even in case of a mitral valve re-repair due to previous repair failure, especially when procedure related in degenerative mitral disease. Combining the benefits of mitral valve re-repair with those of a minimally invasive surgery may optimize short-term and long-term outcomes.
Language	English
Publishing date	2022-11-13
Publishing country	United States
Document type	Journal Article
ISSN	1559-0879
ISSN (online)	1559-0879
DOI	10.1177/15569845221130038
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Minimally invasive cardiac surgery for complex procedures: extensive septal myectomy and double valve replacement.

Çelmeta, Bleri / Miceli, Antonio / Ferrarini, Matteo / Glauber, Mattia

Multimedia manual of cardiothoracic surgery : MMCTS

2022 Volume 2022

Abstract: In this video tutorial, we demonstrate that minimally invasive cardiac surgery and all its benefits can be applied even to complex, multiple cardiac procedures. We present a 71-year-old patient with severely obstructive hypertrophic cardiomyopathy, ... ...

Abstract	In this video tutorial, we demonstrate that minimally invasive cardiac surgery and all its benefits can be applied even to complex, multiple cardiac procedures. We present a 71-year-old patient with severely obstructive hypertrophic cardiomyopathy, moderate mitral regurgitation for systolic anterior motion of the mitral valve, moderate aortic stenosis and regurgitation and atrial fibrillation. We performed a mitroaortic valve replacement, transmitral and transaortic septal myectomy and left atrial appendage closure through a minimally invasive approach (right anterolateral minithoracotomy). After establishing peripheric cardiopulmonary bypass, aortic cross-clamping and a left atrium opening, the anterior mitral leaflet was incised circumferentially at its insertion on the annulus to allow an optimal transmitral myectomy. Subsequently, mitral valve removal was completed, and a bioprosthesis was implanted. After closure of the left atrium, the left atrial appendage was closed using a 40-mm device (Atriclip). The aorta was then opened, the aortic valve was excised and a transaortic septal myectomy was completed. Finally, a sutureless aortic bioprosthesis was implanted. Postoperative transoesophageal and transthoracic surgery demonstrated a residual left ventricular outflow tract gradient of 14 mmHg and the correct performance of both biological prostheses. Minimally invasive heart surgery can be offered even to patients requiring complex and multiple procedures, including septal myectomy. Combining the benefits of the operation with those of a minimally invasive approach may optimize postoperative and long-term surgical outcomes.
Language	English
Publishing date	2022-12-12
Publishing country	England
Document type	Video-Audio Media
ZDB-ID	2280156-X
ISSN	1813-9175 ; 1813-9175
ISSN (online)	1813-9175
ISSN	1813-9175
DOI	10.1510/mmcts.2022.081
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Article ; Online: Commentary: Mitral valve edge-to-edge repair is still a simple solution for complex diseases.

Celmeta, Bleri / Glauber, Mattia / Miceli, Antonio

JTCVS techniques

2022 Volume 12, Page(s) 52–53

Language	English
Publishing date	2022-02-21
Publishing country	United States
Document type	Editorial
ISSN	2666-2507
ISSN (online)	2666-2507
DOI	10.1016/j.xjtc.2022.02.001
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Article ; Online: Editorial commentary: Respect or resect? Patient tailored approach.

Celmeta, Bleri / Bisogno, Arturo / Glauber, Mattia / Miceli, Antonio

Trends in cardiovascular medicine

2022 Volume 33, Issue 4, Page(s) 240–241

MeSH term(s)	Humans ; Respect ; Mitral Valve/surgery ; Mitral Valve Insufficiency/surgery ; Treatment Outcome ; Heart Valve Prosthesis Implantation
Language	English
Publishing date	2022-02-26
Publishing country	United States
Document type	Editorial ; Comment
ZDB-ID	1097434-9
ISSN	1873-2615 ; 1050-1738
ISSN (online)	1873-2615
ISSN	1050-1738
DOI	10.1016/j.tcm.2022.02.014
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Article: Minimally invasive aortic valve surgery.

Di Bacco, Lorenzo / Miceli, Antonio / Glauber, Mattia

Journal of thoracic disease

2021 Volume 13, Issue 3, Page(s) 1945–1959

Abstract: Since their introduction, it has been demonstrated that minimally invasive aortic valve replacement (MIAVR) approaches are safe and effective for the treatment of aortic valve diseases. To date, the main advantage of these approaches is represented by ... ...

Abstract	Since their introduction, it has been demonstrated that minimally invasive aortic valve replacement (MIAVR) approaches are safe and effective for the treatment of aortic valve diseases. To date, the main advantage of these approaches is represented by the reduced surgical trauma, with a subsequent reduced complication rate and faster recovery. This makes such approaches an appealing choice also for frail patients [obese, aged, chronic obstructive pulmonary disease (COPD)]. The standardization of the minimally invasive techniques, together with the implementation of preoperative workup and anesthesiological intra- and post-operative care, led to an amelioration of surgical results and reduction of surgical times. Moreover, the improvement of surgical technology and the introduction of new devices such as sutureless and rapid deployment (SURD) valves, has helped the achievement of comparable results to traditional surgery. However, transcatheter technologies are nowadays more and more important in the treatment of aortic valve disease, also in low risk patients. For this reason surgeons should put new efforts for further reducing the surgical trauma in the future, even taking inspiration from other disciplines. In this review, we aim to present a review of literature evidences regarding minimally invasive treatment of aortic diseases, also reflecting our personal experience with MIAVR techniques. This review could represent a tool for a well-structured patient assessment and preoperative planning, in order to safely carrying out an MIAVR procedure with satisfactory outcomes.
Language	English
Publishing date	2021-03-20
Publishing country	China
Document type	Journal Article ; Review
ZDB-ID	2573571-8
ISSN	2077-6624 ; 2072-1439
ISSN (online)	2077-6624
ISSN	2072-1439
DOI	10.21037/jtd-20-1968
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Article ; Online: Commentary: Beyond the boundaries of left ventricular outflow tract obstruction.

Belluschi, Igor / Glauber, Mattia / Miceli, Antonio

JTCVS open

2021 Volume 8, Page(s) 261–262

Language	English
Publishing date	2021-06-16
Publishing country	Netherlands
Document type	Editorial
ISSN	2666-2736
ISSN (online)	2666-2736
DOI	10.1016/j.xjon.2021.06.003
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Article ; Online: Commentary: What do we still have to learn from surgery?

Belluschi, Igor / Glauber, Mattia / Miceli, Antonio

JTCVS open

2021 Volume 7, Page(s) 109–110

Language	English
Publishing date	2021-06-24
Publishing country	Netherlands
Document type	Editorial ; Comment
ISSN	2666-2736
ISSN (online)	2666-2736
DOI	10.1016/j.xjon.2021.06.014
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Article: Detachable Aortic Clamp for Minimally Invasive Cardiac Surgery.

Celmeta, Bleri / Viva, Tommaso / Bisogno, Arturo / Bruno, Vito Domenico / Miceli, Antonio / Glauber, Mattia

Surgical technology international

2023 Volume 42

Abstract: Since its first implementation, minimally invasive cardiac surgery has become more and more popular among surgeons. By avoiding a complete opening of the sternum, this surgery is traditionally associated with a faster recovery, less surgical pain and ... ...

Abstract	Since its first implementation, minimally invasive cardiac surgery has become more and more popular among surgeons. By avoiding a complete opening of the sternum, this surgery is traditionally associated with a faster recovery, less surgical pain and less postoperative bleeding and transfusions. With its growing popularity, the need for specifically designed surgical instrumentation is evident. Since 2008, the detachable-branch Glauber clamp (Cardiovision-Trytech, Tokyo, Japan) has been used to facilitate aortic cross-clamp during minimally invasive cardiac surgery, to optimize the intraoperative visualization field without the need for adjunctive incisions of the thorax. It has been specifically developed for limited single-access minimally invasive valve surgery. The clamp is introduced through the main access incision (mini-sternotomy or mini thoracotomy) by means of a specifically designed delivery system, which is subsequently removed, leaving inside the thorax only the detachable closed branches on the aorta. Since its first implementation, the clamp has been used in numerous patients at several cardiac surgery centers worldwide. Over the years, attempts have been made to improve its ergonomics and enhance its performance. The G2 detachable-branch Glauber clamp (USB Medical, Hatboro, PA, USA) occupies a smaller space inside the thorax, has a simplified gripping mechanism and comes with detachable arms that enhance versatility with up to 10 possible clamp configurations. This article describes the characteristics of detachable-branch aortic clamps and compares them to other aortic cross-clamps that are currently available for minimally invasive cardiac surgery.
Language	English
Publishing date	2023-07-19
Publishing country	United States
Document type	Journal Article
ZDB-ID	1225512-9
ISSN	1090-3941
ISSN	1090-3941
DOI	10.52198/23.STI.42.CV1675
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Article ; Online: Commentary: Is Minimally Invasive Mitral Approach After a Previous Sternotomy Still Competitive?

Belluschi, Igor / Glauber, Mattia / Miceli, Antonio

Seminars in thoracic and cardiovascular surgery

2021 Volume 34, Issue 4, Page(s) 1218–1219

MeSH term(s)	Humans ; Sternotomy ; Treatment Outcome ; Mitral Valve/diagnostic imaging ; Mitral Valve/surgery ; Mitral Valve Insufficiency/diagnostic imaging ; Mitral Valve Insufficiency/surgery ; Minimally Invasive Surgical Procedures ; Retrospective Studies
Language	English
Publishing date	2021-09-12
Publishing country	United States
Document type	Editorial ; Comment
ZDB-ID	1038278-1
ISSN	1532-9488 ; 1043-0679
ISSN (online)	1532-9488
ISSN	1043-0679
DOI	10.1053/j.semtcvs.2021.09.005
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Zs.A 2747: Show issues

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Article ; Online: Percutaneous treatment of abdominal aortic aneurysm and aortic valve stenosis with 'staged' EVAR and TAVR: a case series.

Medda, Massimo / Casilli, Francesco / Bande, Marta / Glauber, Mattia / Tespili, Maurizio / Cirri, Silvia / Donatelli, Francesco

Journal of cardiothoracic surgery

2023 Volume 18, Issue 1, Page(s) 231

Abstract: Symptomatic aortic valve stenosis (AS) and abdominal aortic aneurysm (AAA) are critical clinical conditions, increasingly more prevalent with aging of the population. Calcific aortic stenosis is the most common structural cardiac disease in the elderly ... ...

Abstract	Symptomatic aortic valve stenosis (AS) and abdominal aortic aneurysm (AAA) are critical clinical conditions, increasingly more prevalent with aging of the population. Calcific aortic stenosis is the most common structural cardiac disease in the elderly population, and medical management of severe aortic stenosis of the elderly population is associated with poor outcomes as compared to surgical treatment. Transcatheter aortic valve replacement (TAVR) is a treatment of choice in inoperable, often elderly, patients with symptomatic severe AS and in intermediate-to-high surgical risk patients. It is not yet clarified the incidence of AAA and its impact on procedural and clinical outcomes among patients undergoing TAVR. It is known that after AS resolution with aortic valve replacement or TAVR there is an increase in blood pressure that increases the risk of dissection or abdominal aortic aneurysm rupture if AAA repair is delayed. The purpose of this report is to describe the anatomical details and technical and procedural considerations when proposing totally endovascular strategies dedicated to the treatment of patients with AS and AAA.
MeSH term(s)	Aged ; Humans ; Transcatheter Aortic Valve Replacement ; Treatment Outcome ; Aortic Valve Stenosis/complications ; Aortic Valve/surgery ; Aortic Aneurysm, Abdominal/complications ; Aortic Aneurysm, Abdominal/surgery ; Risk Factors
Language	English
Publishing date	2023-07-13
Publishing country	England
Document type	Journal Article
ZDB-ID	2227224-0
ISSN	1749-8090 ; 1749-8090
ISSN (online)	1749-8090
ISSN	1749-8090
DOI	10.1186/s13019-023-02338-7
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