Advanced Imaging Preparation for Endoscopic Mitral Valve Surgery—Analysis of Circumflex Anatomy and Associated Procedural Risks
Preoperative CT-based measurement of the circumflex artery's distance from the mitral annulus is feasible and may identify patients at elevated risk for iatrogenic injury. A distance ≤ 4 mm or injury prediction index ≤ 0.2 indicates increased risk. Routine CT imaging, combined with coronary angiography, is recommended for risk stratification before mitral valve surgery.
Authors
- Farhad Bakhtiary (ORCID: https://orcid.org/0000-0002-3042-7182)
- Daniel Kuetting (ORCID: https://orcid.org/0000-0001-6520-1020)
- Marcel Weber (ORCID: https://orcid.org/0000-0003-4100-9522)
- Kaveh Eghbalzadeh (ORCID: https://orcid.org/0000-0001-6941-7785)
- Miriam Silaschi (ORCID: https://orcid.org/0000-0001-7293-5516)
- Marwan Hamiko (ORCID: https://orcid.org/0009-0000-9763-7304)
- Ömür Akhavuz
- Sebastian Zimmer (ORCID: https://orcid.org/0000-0002-1531-2088)
- Eissa Alaj
- Jacqueline Kruse
- Ali El-Sayed Ahmad (ORCID: https://orcid.org/0000-0002-6617-6397)
- Jonathan Hobbach
Institutions
- University Hospital Bonn (DE)
Publication Details
- Journal
- Interdisciplinary CardioVascular and Thoracic Surgery
- Published
- 2025-10-01
- DOI
- https://doi.org/10.1093/icvts/ivaf238
- Primary Topic
- Cardiac Valve Diseases and Treatments
- Type
- article
- Field-Weighted Citation Impact
- 0.00