Key result
Transapical off-pump beating heart neochordae implantation is a safe and effective microinvasive alternative to conventional surgery for severe primary mitral regurgitation in well-selected patients.
Why the study?
The review aimed to describe the devices, indications, patient screening, clinical and echocardiographic results, and future perspectives of transapical off-pump beating heart neochordae implantation.
Transapical off-pump beating heart neochordae implantation is a valid microinvasive alternative to conventional surgery for selected patients with severe mitral regurgitation due to leaflet prolapse or flail.
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May support use in selected primary MR patients; leaves open need for randomized trials on durability.
Bergonzoni et al. (2023) conducted a review in Severe primary mitral regurgitation. Transapical microinvasive mitral valve repair with neochord implantation was evaluated. Transapical off-pump beating heart neochordae implantation is a safe and effective microinvasive alternative to conventional surgery for severe primary mitral regurgitation in well-selected patients.
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