Transcript On-X Mitral Valve Replacement: 5 Case Videos Mario Castillo-Sang, MD, shares five cases of mitral valve replacement with On-X mechanical valves. mitral valve replacement using on X mechanical valves. First case of a dramatic mitral valve regurgitation. The interior leader of the mitral valve is resected using sharp scissors, and it is important to remove all the debris and all the potential tissue that could impede complete work or full closure and opening of the mechanical valve. You can see here. The head of the popularly muscle has been the breed it, but attachments to the commissioner and boost your animals were left intact. The valve suitors were placed from ventricle toe atrium, these air tool esteban non pledge. It'd I recognize there are other options for this type of suitors, and the application in the posterior analyst poster leaflet is reef top against the annual issues in the same suitors. The valve is lowered onto position and secured with titanium fasteners. Testing of the leaflet motion is very important. In this case, you can see tasting of the leaflet motion with a non metal device. Both leave that open and close easily. Case to rheumatic regurgitation. One can see here very thick and post your cord that fuse onto the post to your leaflet. The interior leaflet, once again is respected, trying to preserve as many of the commercial courts as possible and as many of the appropriate post your cords as possible. Sometimes this is not possible, given the thickness and the height of the dramatic tissue, which could impede closure of the mechanical prosthesis. The valve is lower onto position and secured with titanium fasteners, and one can see here that using a titanium fasters, one can see here that securing the valve in place allows the tissue underneath the valve. To be reef top case number three rheumatic mitral stenosis one can see here. The closure of the left atrial appendage is in the two row of Perlin suitors. The retractor is then mobilized so as toe expose the mitral valve. Better again. The valves resected using sharp dissection the combination of suction and scissors to prevent debris from falling onto the ventricle. In this particular case, the rheumatic disease was quite more significant than the previous cases. One can see calcification. The valve is sized, the valvular stitches replaced, and the valve is lowered down onto the Angeles. This is a standard cuff valve. Kids number four dramatic representation using conform mix, cough the entire A leaflet. Once against respected all the tissue that could impinge on the mechanism of the valve is respected. Some of the advantages of the Onex valves are the 90 degree opening of the leaflets, as well as two panels in growth prevention mechanisms. One is the Flirt Inlet, and the second one is the Taller Cage Case five. Mechanical mitral valve replacement for dramatic stenosis using conform X cough. This is a case of severe rheumatic stenosis, with the popularly muscles extending all the way up to the mitral leaflet so the entire valve apparatus is respected in order to be able to fit in a new prosthesis. Care is taken to suction out all the debris, and the head of the February muscles, in this case I respect had given the extension all the way up to the leaflets, which would, of course, impinge of the mechanical mitral valve. Once the tissue is completely resected, Recreation of the court attendant is created using EPA TF suitors anchored in the papillary muscle heads and the metro analysts. A scene in a following images A bulldog clamp is used to avoid tying to short the future. The valve suitors replaced and the conform mix on X valve is implanted. The valve is tested again with a non metal testing device. Sample echocardiogram shows the right angle movement of both leaflets of the Onyx mitral valve. Created by