Abstract
The future algorythm regulating the equilibrium between TAVI and Surgical aortic valve replacement can be imaged but is not yet defined. We do not know which will be the baseline of remaining isolated SAVR. If most research energies are logically invested in TAVI, surgery can still evolve in order to provide the minimal degree of wall chest trauma in the subset of patients that still require a complete removal of the underlying pathology (valve leaflets). Totally endoscopic aortic valve replacement (TEAVR), and Robotic TEAVR are part of this evolution. Initial experiences in selected low risk patients seem promising. We decribe in this chapter the technicall details of this challenging research process.
Bibliography
Zhou Y, et al. Transcatheter versus surgical aortic valve replacement in low to intermediate risk patients: a meta-analysis of randomized and observational studies. Int J Cardiol. 2017;228:723–8.
Praz F, et al. Latest evidence on transcatheter aortic valve implantation vs. surgical aortic valve replacement for the treatment of aortic stenosis in high and intermediate-risk patients. Curr Opin Cardiol. 2017;32(2):117–22.
Kodali S, et al. Paravalvular regurgitation after transcatheter aortic valve replacement with the Edwards sapien valve in the PARTNER trial: characterizing patients and impact on outcomes. Eur Heart J. 2015;36(7):449–56.
Maisano F, Taramasso M, Nietlispach F. Prognostic influence of paravalvular leak following TAVI: is aortic regurgitation an active incremental risk factor or just a mere indicator? Eur Heart J. 2015;36(7):413–5.
Nishiyama T, et al. Predictive factor and clinical consequence of left bundle-branch block after a transcatheter aortic valve implantation. Int J Cardiol. 2017;227:25–9.
Merk DR, et al. Minimal invasive aortic valve replacement surgery is associated with improved survival: a propensity-matched comparison. Eur J Cardiothorac Surg. 2014;47(1):11–7. discussion 17
Malaisrie SC, et al. Current era minimally invasive aortic valve replacement: techniques and practice. J Thorac Cardiovasc Surg. 2014;147(1):6–14.
Kopp M, et al. Psychomotor car-driving abilities after robotically assisted totally endoscopic coronary artery bypass grafting. Thorac Cardiovasc Surg. 2012;60(7):462–7.
Morgan JA, et al. Robotic techniques improve quality of life in patients undergoing atrial septal defect repair. Ann Thorac Surg. 2004;77(4):1328–33.
Vola M, et al. First human totally endoscopic aortic valve replacement: an early report. J Thorac Cardiovasc Surg. 2014;147(3):1091–3.
Vahidkhah K, et al. Valve thrombosis following transcatheter aortic valve replacement: significance of blood stasis on the leaflets. Eur J Cardiothorac Surg. 2017;51(5):927–35.
Karangelis D, et al. What is the role of sutureless aortic valves in today’s armamentarium? Expert Rev Cardiovasc Ther. 2017;15(2):83–91.
Concistre G, et al. Sutureless aortic valve implantation through an upper v-type ministernotomy: an innovative approach in high-risk patients. Innovations (Phila). 2013;8(1):23–8.
Gilmanov D, et al. Perceval S sutureless aortic valve prosthesis implantation via a right anterior minithoracotomy. Multimed Man Cardiothorac Surg. 2013;2013:mmt012.
Vola M, et al. Closed chest human aortic valve removal and replacement: technical feasibility and one year follow-up. Int J Cardiol. 2016;211:71–8.
Vola M, et al. Proof of concept of an endoscopic sutureless valve sizer. Innovations (Phila). 2016;11(5):337–41.
Vola M, et al. First in human totally endoscopic perceval valve implantation. Ann Thorac Surg. 2016;102(4):e299–301.
Vola M, et al. Video-assisted minithoracotomy approach: technical developments towards totally endoscopic sutureless aortic valve replacement. J Card Surg. 2014;29(4):494–6.
Vola M, et al. Robotic total endoscopic sutureless aortic valve replacement: proof of concept for a future surgical setting. Int J Med Robot. 2015;12(3):370–4.
Disclosures
Dr. Vola has been a proctor and performed lectures for Medtronic.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2018 Springer International Publishing AG, part of Springer Nature
About this chapter
Cite this chapter
Vola, M. (2018). Totally Endoscopic Aortic Valve Replacement (TEAVR). In: Fattouch, K., Lancellotti, P., Vannan, M., Speziale, G. (eds) Advances in Treatments for Aortic Valve and Root Diseases. Springer, Cham. https://doi.org/10.1007/978-3-319-66483-5_19
Download citation
DOI: https://doi.org/10.1007/978-3-319-66483-5_19
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-66482-8
Online ISBN: 978-3-319-66483-5
eBook Packages: MedicineMedicine (R0)