Transapical off-pump mitral valve repair with Neochord Implantation (TOP-MINI): step-by-step guide

    

 The step-by-step standardization of TOP-MINI provides an effective tool among the available minimally invasive MVR techniques. This procedure is feasible and highly reproducible with significant clinical results. It does not require any structural change to the dynamics of the operating room or cardiac surgery team. The TOP-MINI procedure does indeed push the boundaries of minimally invasive MVR techniques to a new level.




The primary selection criteria, including morphological characteristics of patients, are:

  • Severe Mitral Regurgitation
  • Presence of symptoms
  • Isolated prolapse of the posterior leaflet in the P2 segment (Carpentier classification type II) 

Exclusion criteria:


  • Calcified Mitral Valve
  • Active endocarditis
  • Inflammatory valve desease
  • Significant annular dilatation,
  • Additional cardiac pathology with an indication for concomitant procedures



 Watch the video for detailed information on preparation and management:





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