Author: Michael Vallely

The role of the heart team in complicated transcatheter aortic valve implantation: a 7-year single-centre experience

Kiefer et al. The role of the heart team in complicated transcatheter aortic valve implantation: a 7-year single-centre experience. Eur J Cardiothorac Surg. 2015 May 19;47(6):1090–6. Objectives: European guidelines recommend to perform transcatheter aortic valve implantation (TAVI) within a multidisciplinary heart team. However, there is a strong drive—despite existing guidelines—to perform TAVI outside of specialized centres. The aim of this study was to clarify the necessity of on-site cardiac surgery by providing a clear insight into the complications during/after TAVI that needed surgical management. Methods: A total of 2287 (1523 transfemoral, 752 transapical and 12 transaortic) patients, with a mean...

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Prof Michael Vallely: Mitral Valve Surgery Techniques

Prof Michael Vallely, Cardiothoracic Surgeon at Royal Prince Alfred Hospital & Macquarie University Hospital, discusses different mitral valve surgery techniques. Presentation delivered at the SHDA Mitral Valve Symposium 2015.   References AATS 2013 Mitral Conclave Interview: Dr. Hugo Vanermen Gillinov AM, Banbury MK. Pre-measured artificial chordae for mitral valve repair. The Annals of Thoracic Surgery. 2007 Dec;84(6):2127–9. Oppell von UO, Mohr FW. Chordal replacement for both minimally invasive and conventional mitral valve surgery using premeasured Gore-Tex loops. The Annals of Thoracic Surgery. 2000 Dec;70(6):2166–8. Seeburger J, Borger MA, Doll N, Walther T, Passage J, Falk V, et al. Comparison of outcomes of minimally invasive mitral valve surgery for posterior, anterior and bileaflet prolapse. European Journal of Cardio-Thoracic Surgery. Oxford University Press; 2009 Sep;36(3):532–8. Seeburger J, Falk V, Borger MA, Passage J, Walther T, Doll N, et al. Chordae replacement versus resection for repair of isolated posterior mitral leaflet prolapse: à ègalité. The Annals of Thoracic Surgery. 2009 Jun;87(6):1715–20. Passage J, Edwards J, Almeida A, Fayers T. Guidelines for the safe introduction of minimally invasive mitral valve surgery. Heart, Lung and Circulation. 2013 Sep;22(9):703. Dvir D, Webb J, Brecker S, Bleiziffer S, Hildick-Smith D, Colombo A, et al. Transcatheter aortic valve replacement for degenerative bioprosthetic surgical valves: results from the global valve-in-valve registry. Circulation. 2012 Nov...

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Prof Michael Vallely: Early Intervention for Mitral Valve Disease

Prof Michael Vallely, Cardiothoracic Surgeon at Royal Prince Alfred Hospital & Macquarie University Hospital, introduces Structural Heart Disease Australia & discusses the importance of early referral & intervention for mitral valve disease. Presentation delivered at the SHDA Mitral Valve Symposium 2015.   References Suri RM, Vanoverschelde J-L, Grigioni F, Schaff HV, Tribouilloy C, Avierinos J-F, et al. Association between early surgical intervention vs watchful waiting and outcomes for mitral regurgitation due to flail mitral valve leaflets. JAMA. 2013 Aug 14;310(6):609–16. Seco M, Martinez G, Bannon PG, Cartwright BL, Adams M, Ng M, et al. Transapical Aortic Valve Implantation-An Australian Experience. Heart, Lung and Circulation. 2013 Nov 15. Vallely MP, Wilson MK, Adams M, Ng MKC. How to set up a successful TAVI program. Annals of Cardiothoracic Surgery. 2012 Jul;1(2):185–9. Martinez GJ, Seco M, Jaijee SK, Adams MR, Cartwright BL, Forrest P, et al. Introduction of an Interdisciplinary Heart Team-based Transcatheter Aortic Valve Implantation Program: Short and Mid-term Outcomes. Intern Med J. 2014 Jun 25;:n/a–n/a. Nishimura RA, Otto CM, Bonow RO, Carabello BA, Erwin JP, Guyton RA, et al. 2014 AHA/ACC guideline for the management of patients with valvular heart disease: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. Journal of the American College of Cardiology. 2014. pp. e57–185. Lancellotti P, Rosenhek R, Pibarot P, Iung B, Otto CM, Tornos P, et al....

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