Minimally-invasive mitral valve surgery has been in development during the last thirty years and now allows to perform mitral and tricuspid interventions, coronary bypass surgery, repair of congenital heart defects and more. Current state-of-the-art technology and clinical knowledge make possible to offer this approach in expert centers to a growing number of patients, who benefit from its advantages. Minimally-invasive mitral surgery is becoming the best option to repair que mitral valve and patients are able to recover better and faster than after conventional surgery without compromising quality of the repair. With the aid of high-definition 3D visualization and specifically designed instruments, including robotic telemanipulation, thoracoscopic and robotic surgery performed this way require only small incisions in the right chest. In the present chapter we will expose the current state of this field, going into detail regarding patient selection and operative techniques, and also reviewing the requirements for building a successful program.
Part of the book: Advances in Minimally Invasive Surgery
Heart transplant is the gold-standard treatment for end-stage heart failure. However, the aging of the population, increase in the prevalence of heart failure and the shortage of available donors have led to a significant increase in the wait-list times. This increase in waiting time may cause some patients clinically deteriorate while on the list. Several bridging strategies have been developed to help patients reach heart transplant. It is mandatory to know the current results of these techniques and the specific tips and tricks these different devices may have. Survival results would also be presented to help us decide the best strategy for each of our patients.
Part of the book: Heart Transplantation - New Insights in Therapeutic Strategies