Year : 2020  |  Volume : 23  |  Issue : 3  |  Page : 321--326

Intensive care and anesthesia management for HARPOON beating heart mitral valve repair


Paul Diprose1, Katheryn J Fogg2, Demetrio Pittarello3, James S Gammie4, Michael N D'Ambra5 
1 Cardiac Anaesthesia and Intensive Care, University Hospital Southampton NHS Trust, Southampton, UK
2 Cardiac Anaesthesia, Royal Brompton Hospital Trust, London, UK
3 Anesthesia and Intensive Care Unit, Padova, University of Padova, Italy
4 Division of Cardiac Surgery, University of Maryland School of Medicine, Baltimore, MD, USA
5 Division of Cardiac Surgery, University of Maryland School of Medicine; Division of Cardiac Anesthesiology, University of Maryland School of Medicine, Baltimore, MD, USA

Correspondence Address:
Paul Diprose
Cardiac Anaesthesia and Intensive Care, University Hospital Southampton NHS Trust, Southampton
UK

Patients with severe mitral valve regurgitation secondary to degenerative disease are known to benefit from mitral valve repair surgery. Novel techniques for achieving mitral valve repair on the beating heart have been developed and are being introduced into clinical practice. The HARPOON Beating Heart Mitral Valve Repair System (MVRS) in recent studies has demonstrated efficacy and safety for the repair of degenerative mitral valve disease on the beating heart. The device uses transoesophageal echocardiographic guidance to implant artificial expanded polytetrafluoroethylene (ePTFE) cords on prolapsed mitral valve leaflets in the beating heart. It requires general anaesthesia and there are specific intensive care and anaesthesia considerations for the safe management of these cases. This article describes the general principles of intensive care and anaesthesia management employed for the initial patients treated with the HARPOON Beating Heart MVRS, the outcomes for these patients, and the potential challenges for the future management of these cases.


How to cite this article:
Diprose P, Fogg KJ, Pittarello D, Gammie JS, D'Ambra MN. Intensive care and anesthesia management for HARPOON beating heart mitral valve repair.Ann Card Anaesth 2020;23:321-326


How to cite this URL:
Diprose P, Fogg KJ, Pittarello D, Gammie JS, D'Ambra MN. Intensive care and anesthesia management for HARPOON beating heart mitral valve repair. Ann Card Anaesth [serial online] 2020 [cited 2020 Sep 25 ];23:321-326
Available from: http://www.annals.in/article.asp?issn=0971-9784;year=2020;volume=23;issue=3;spage=321;epage=326;aulast=Diprose;type=0