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Minimally Invasive Mitral Challenges: Tips and Tricks

Torsten Doenst of Friedrich Schiller University, Jena, Germany, discusses surgical strategies for challenges faced during minimally invasive mitral valve surgery. Dr. Doenst describes a variety of techniques for dealing with cases of mitral annular calcification, significant peripheral artery disease, and severe aortic regurgitation/stenosis. 

This presentation was originally given during the SCTS Ionescu University program at the 2016 Annual Meeting of the Society for Cardiothoracic Surgery in Great Britain and Ireland. This content is published with the permission of SCTS. Please click here for more information on SCTS educational programs. 

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  1. Excellent presentation, congratulations.
    1. With respect to “mitral challenges”, did you considered high-risk patients?. I mean high risk assessed by EUROscore or STS score.
    2. Did you perform preoperative thorax CT in patients with previously sternotomy?.
    3. Do you considered that MICS is a good choice in patients with active endocariditis, reoperations and high risk patients?
    Thank you very much.

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