12th Training Course for Minimally Invasive Heart Valve Surgery
December 5-8, 2021

Training minimally invasive valve surgery in the era of interventional valve therapies

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Day 2 | Monday | December 6 | 2021


08:30 - 09:00Welcome
Introductory lecture: Biases in randomized trials
MIMVS: Evolution over 20 years
Grimm M, Bonaros N
Müller L
Bonaros N
09:00 - 12:00Live surgeries transmitted from OR
Moderation: Pomar J-L
Panel: Girduaskas E, Fischlein T, Grabenwöger M, Kocher A, Oto Ö
Case presentation
Live case 1
Mini-thoracotomy (ART) aortic valve replacement
Surgeons: Mahr S/ Laufer G
Learning objectives:
Right anterior minithoracotomy access, exposure, cannulation, prosthesis selection
(rapid deployment valves vs. standard)

Live case 2
Partial sternotomy for ascending aorta + valve replacement
Surgeons Dumfarth J/ Grimm M
Learning objectives:
Minimally invasive AVR, hemisternotomy, cannulation, exposure replacement of the ascending aorta

Live-in-a-box: 3D Totally endoscopic aortic valve replacement

Discussion of strategies: Panel
Nägele F

Pitsis A
Coffee break
Presentations during live surgeries:
Valve selection between 50 and 70 years:
pro: Biological
contra: Mechanical
Summary aortic valve prosthesis selection
Why do aortic valves calcify

Wiedemann D
Gunn J
Fischlein T
Gollmann-Tepeköylü C
12:30 - 13:00Lunch Break
13:00 - 13:45Workshop 4: Transcatheter mitral valve therapies
Chair: Bauer A, Grimm M, Laufer G

Transapical neochordae
Interventional edge-to edge repair for leaflet prolapse

Walther T
Hausleiter J
Treede H
Honored guest lecture: Ebstein's anomalyPerier P
14:15 - 14:30Coffee break
14:30 - 18:00Live surgeries transmitted from OR
Moderation: Pomar J-L
Panel: Doll K-N, Liebold A, Obadia J-F, Perier P, Walther T
Case presentation
Live case 3
Totally endoscopic MV repair
Surgeons: Bonaros N, Müller L, Stastny L
Learning objectives:
Team approach, cannulation, cardioplegia, port placement, valve exposure, chordae loops, annuloplasty
Live case 4
The pragmatic approach: Direct vision MV repair
Surgeon: Jacobs S
Learning objectives:
Essentials of mini-thoracotomy MV repair
Discussion of strategies: Panel
Gasser S
Coffee break
Presentations during live surgeries:
Typical failures in MIC mitral valve surgery
Cannulation, myocardial protection and deairing
Access, port placement, mitral/ tricuspid valve exposure
Sizing and fixation of artificial chordae, ring selection
Live-in-a-box: Beating heart tricuspid annuloplasty

Obadia J-F
Vohra H
Solinas M
Treede H
14:30 - 17:30Wetlab: Hands-on training of transcatheter transapical mitral valve replacement
Tutor: TBA (parallel during live surgeries - 60 min training)
18:00End of day 2