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Taqatqa Anas S - - 2010
Anomalous chordae tendinae (CT) originating from mitral valve leaflet is a rare congenital mitral valve anomaly. Our case report is unique as this anomaly is extremely rare in this pediatric age group. The anomalous CT extended from anterior mitral leaflet to the atrial septum (AS). Surgical repair in the form ...
Zółciński Marek - - 2010
A 27-year-old male with a six-year history of hypereosinophilic syndrome (HES) presented with a native mitral valve thrombus, despite therapeutic oral anticoagulation. The thrombus was removed, the mitral valve replaced, and subsequent oral anticoagulation maintained at a higher level (INR 3.5). The patient developed two recurrences of mitral valve thrombosis ...
Deng X - - 2010
Gerbode defect is an unusual cardiac defect; its association with a double orifice mitral valve has not been previously reported. We present a case of a 45-year-old woman who complained of palpitation and dyspnea on exertion. Echocardiography revealed an abnormal communication between the left ventricle and the right atrium, but ...
Attaran Saina - - 2010
Wegener's granulomatosis is an autoimmune condition resulting in the granulomatous vasculitis of small-to-medium-sized vessels, and is characterized by granulomatous lesions in the renal and respiratory systems. Cardiac involvement in Wegener's granulomatosis has been previously reported. However, involvement of cardiac valves is extremely rare. We present a patient with Wegener's granulomatosis ...
Chamsi-Pasha Mohammed A R - - 2010
A 63-year-old male presented with a 6-month history of worsening exertional dyspnea and was found to have three-vessel coronary artery disease. Transesophageal echocardiography revealed a filamentous structure attached to the anterior mitral valve leaflet, which was confirmed during surgery as filamentous network. To our knowledge, this is the first report ...
Talluto Christopher J - - 2011
The patient is a 13-year-old Mexican-American immigrant who had no previous medical care. Upon arrival to the United States she was diagnosed with severe mitral valve stenosis and regurgitation. In addition she had severe aortic stenosis with mild to moderate aortic valve regurgitation, which was thought to be rheumatic heart ...
Deorsola Luca - - 2010
Congenital mitral regurgitation is rare and usually part of complex cardiac anomalies. When needed, early surgery represents a great challenge. In small babies avoiding valve replacement is desirable, but valve repair may be extremely complex. We describe an isolated congenital mitral regurgitation, successfully treated with conservative surgery about 1 h after ...
Kurazumi Hiroshi - - 2011
Systemic calcifications are often seen in patients with end-stage renal failure, who need long-term hemodialysis. When patients with severe calcification of the mitral-valve annulus undergo mitral-valve replacement (MVR), complete debridement of the calcified tissues may result in fatal complications such as rupture of the left ventricle or injury to the ...
Kuralay Erkan - - 2010
Usually, after mitral leaflet tissue is resected, artificial chordae are used to obtain papillary muscle-to-mitral annulus continuity so as to preserve left ventricular performance. A modified technique that does not require resection of the posterior mitral leaflet and permits implantation of an adequate size of prosthesis is described.
Le Tourneau Thierry - - 2010
OBJECTIVE: To evaluate the predictors of pulmonary artery systolic pressure (PASP) in organic mitral regurgitation (MR) and its prognostic value after surgery. DESIGN: Prospective observational study, conducted from 1998 to 2006. SETTING: Echocardiography and cardiac surgery departments, University Hospital. PATIENTS: Echocardiography was carried out in 256 patients (63+/-12 years, 170 ...
Adams David H - - 2010
Degenerative mitral valve disease often leads to leaflet prolapse due to chordal elongation or rupture, and resulting in mitral valve regurgitation. Guideline referral for surgical intervention centres primarily on symptoms and ventricular dysfunction. The recommended treatment for degenerative mitral valve disease is mitral valve reconstruction, as opposed to valve replacement ...
Zhu Dan - - 2011
Congenital double-orifice mitral valve is a rare congenital heart disease and causes mitral-valve regurgitation and/or stenosis. We present a case of congenital double-orifice mitral valve with mitral regurgitation that was not verified by preoperative echocardiography. It was confirmed by open-heart surgery and was successfully repaired with comprehensive techniques. It is ...
Luczak Katarzyna - - 2010
We describe a 73 year-old patient with mitral valve pericardial bioprosthesis Carpentier-Edwards 29M implanted due to the rheumatic mitral stenosis 21 years ago. Hemodynamic destabilisation had emerged 18 months before the admission. Echocardiography revealed significant bioprosthesis degeneration with calcification of its leaflets, small pannus on the bioprosthetic ring, moderate mitral ...
Chao Victor T - - 2010
A 72-year-old Chinese female with prior mitral valve replacement with a mechanical prosthesis 13 years before was diagnosed with severe symptomatic aortic stenosis. She was considered a high-risk surgical candidate and was considered for transcatheter aortic valve implantation using a balloon-expandable device. The close proximity of the non-compliant mechanical mitral ...
Jönsson Anders - - 2010
The ongoing evolution of transcatheter valve technology is impressive. Mitral valve regurgitation is the most common type of heart valve insufficiency and mitral valve surgery is, next to aortic valve surgery, the second leading valvular surgical procedure in the western world. However, there is a large patient population suffering from ...
Makinae Haruka - - 2010
BACKGROUND AND AIM OF THE STUDY: While mitral valve replacement is generally considered as the standard surgical treatment for rheumatic mitral stenosis (MS), mitral valve repair may be an alternative therapeutic option. Several techniques have been used to overcome the anatomic difficulties involved in the repair of a rheumatic mitral ...
Hoashi Takaya - - 2010
BACKGROUND: Mitral valve repair is the preferred approach for congenital mitral valve stenosis in children. However, repairs in this population remain challenging. METHODS: From 2001 to 2009, mitral valve repair was attempted in 20 consecutive congenital mitral valve stenosis patients. The median age and body weight at operation were 1.4 ...
Nielsen Sten Lyager - - 2011
Mitral ring annuloplasty is routinely applied as an adjunct procedure in reconstructive surgery on the mitral valve leaflets or chordae tendineae. It is assumed that mitral ring annuloplasty relieves tensile stress on the repaired valve tissue and thereby improves the durability of the procedure, but the indication is disputable. We ...
Chamsi-Pasha Mohammed A R - - 2010
A 63-year-old male presented with a 6-month history of worsening exertional dyspnea and was found to have three-vessel coronary artery disease. Transesophageal echocardiography revealed a filamentous structure attached to the anterior mitral valve leaflet, which was confirmed during surgery as filamentous network. To our knowledge, this is the first report ...
Blauwet Lori A - - 2010
BACKGROUND: Normal Doppler-derived hemodynamic data for mitral valve bioprostheses are limited. METHODS: To establish parameters for identifying normal function for each of the 3 types of bioprostheses examined, we conducted a comprehensive, retrospective, two-dimensional, and Doppler echocardiographic assessment of 179 patients who underwent implantation of the Medtronic Hancock II or ...
Bekeredjian Raffi - - 2010
An 86-year-old female patient was admitted to our hospital with a stenosed biological mitral valve prothesis (orifice area 0.75 cm(2)). Additional cardiac surgery was refused by the patient and her physician. Therefore, balloon valvuloplasty of the mitral valve bioprothesis was planned. Valvulopasty was successfully and safely performed using a standard ...
Parlar A I - - 2010
Traditionally, reoperations for mitral valve replacement are carried out under cardioplegic arrest with cross-clamping of the ascending aorta via a median sternotomy. In this case, the mitral valve replacement operation was performed with an on-pump beating heart technique without cross-clamping the aorta and via a right thoracotomy because of diffuse ...
Keenan Niall G - - 2010
We present the case of a 42-year-old man who underwent tissue mitral valve replacement for symptomatic mitral stenosis. Post-operative course was unremarkable but three-dimensional transoesophageal echocardiography clearly indicated that one cusp had very restricted motion with incomplete opening and premature closure. The cause of this early single cusp failure is ...
Khanna Amber D - - 2010
A 58-year-old man with a remote history of diffuse large B-cell lymphoma (DLBCL), status post chemotherapy, radiation, and peripheral blood stem cell transplantation, presented with splenic nodular sclerosis classical Hodgkin lymphoma. He was found to have aortic and mitral valve mass lesions. The mitral valve mass showed typical histologic and ...
Shaikh Ayaz Hussain - - 2010
OBJECTIVE: To determine the doppler derived mean gradients of St Jude mechanical prosthesis in early postoperative period in patients undergoing valve replacement at a tertiary care cardiac centre. METHODS: Medical records of 190 consecutive patients who underwent 233 mitral, aortic or dual (mitral and aortic) valve replacement by St Jude ...
Brilakis Emmanouil S - - 2010
Percutaneous closure of perivalvular regurgitation may be complicated by prosthetic valve impingement and dysfunction. We describe a patient with two perimitral defects who developed severe mitral stenosis due to mitral leaflet impingement after percutaneous implantation of three amplatzer muscular ventricular septal defect occluder devices. The largest amplatzer occluder device was ...
Müller Hajo - - 2010
We report a case of isolated cleft mitral valve with two clefts in the posterior and one in the anterior leaflet. Our case adds to the few reports of posterior and multiple mitral valve clefts and to our knowledge is the first using real-time transoesophageal three-dimensional echocardiography (3DE) for assessment ...
Bothe Wolfgang - - 2010
To assess the effects of annuloplasty rings on anterior mitral leaflet dimensions. Sixteen radiopaque markers were sutured evenly spaced over the surface of the anterior mitral leaflet in 57 sheep. The following rings were implanted in a releasable fashion: size 28-mm Cosgrove-Edwards band (Edwards Lifesciences, Irvine, Calif) (n = 11), ...
Wei Xufeng - - 2010
BACKGROUND: The epichlorohydrin (ECH) modified porcine aortic heart valve, first clinically utilized in 1989, obtained 2006 approval from the State Food and Drug Administration in China. This study analyzes the 15-year follow-up data of patient recipients of the ECH-modified valve. METHODS: From 1989 to 2002, 227 patients underwent ECH valve ...
Hakim Fayaz A - - 2010
Parachute mitral valve (PMV) is a rare congenital anomaly of the mitral valve apparatus seen in infants and young children. In most instances PMV is associated with other congenital anomalies of the heart, in particular obstructive lesions of the mitral inflow (mitral valve ring) and left ventricular outflow tract (subaortic ...
Ikee Ryota - - 2010
Increased prevalence of aortic and mitral valve calcification has been reported in patients on hemodialysis, but it remains unknown whether aortic and mitral valve calcification arise from similar pathogenesis. We detected heart valve calcification using two-dimensional echocardiography, and we related valve calcification to various clinical parameters in patients treated with ...
Nakamura Teruya - - 2010
Left ventricular outflow tract obstruction is a rare and critical complication after mitral valve replacement. We report a patient who presented with severe left ventricular outflow tract obstruction caused by systolic anterior motion of the native mitral leaflet after aortic and mitral valve replacement. The patient was successfully treated by ...
Lozonschi Lucian - - 2010
OBJECTIVE: To assess short-term survival after transcatheter mitral valve replacement using a unique mitral valved stent design and anchoring system. METHODS: The new nitinol self-expandable valved stent houses a trileaflet glutaraldehyde-preserved bioprosthesis and contains atrial and ventricular fixation systems. Eight pigs underwent transesophageal echocardiogram-guided transapical mitral valved stent implantation through ...
Azevedo Olga - - 2010
Mitral and aortic valve aneurysms are uncommon, but the coexistence of both mitral and aortic valve aneurysms in the same patient is a rather unusual finding in the literature. We report a rare clinical case of a patient with both mitral and aortic valve aneurysms and a rupture of the ...
Zakkar Mustafa - - 2010
The mitral valve is a complex, dynamic and functional apparatus that can be altered by a wide range of disorders leading to stenosis or regurgitation. Surgical management of mitral valve disease may be difficult. Planned intervention may not always be feasible when the surgeon is faced with complex pathology that ...
Ozkan Mehmet - - 2010
We report the usefulness of real time three-dimensional transesophageal echocardiography in comprehensive delineation of cleft mitral valve. This new technique may be a useful supplement to two-dimensional and three-dimensional transthoracic echocardiography in the assessment of this pathology.
Ramakrishna Harish - - 2010
Volumetric determinations by cardiac magnetic resonance imaging after tetralogy of Fallot repair may more accurately assess significant right ventricular dilation and pulmonary regurgitation to guide timing of pulmonary valve replacement. Recent guidelines by the American and European Societies of Echocardiography have summarized the clinical approach to valvular stenosis. They emphasize ...
Santana Orlando - - 2010
An 88-year-old woman presented with increasing dyspnea and angina. She was found to have severe aortic stenosis, 2-vessel coronary artery disease, and severe mitral regurgitation. During surgery the patient was noted to have such severe mitral annular calcification that performing a conventional mitral valve replacement would have significantly increased the ...
Cagli Kerim - - 2010
Artificial chordal replacement with expanded polytetrafluoroethylene is an established technique for mitral valve repair. This report describes a simple technique of using Hegar dilators for making premeasured artificial chordal loops, whether as a single set of loops or as two connected sets of loops arising from the same stem. This ...
Lawrie Gerald M - - 2010
The first successful open repair of a mitral valve for mitral insufficiency was performed by Dr. Dwight McGoon in 1958. He employed a triangular plication of the prolapsing portion of the posterior leaflet and no annuloplasty. Other surgeons subsequently introduced a variety of techniques. Of these, the repair techniques developed ...
Iqbal Fahad M - - 2010
A 36-year-old HIV-infected man admitted with a possible pyelonephritis of the left kidney and a 3.5 cm thrombus of the left renal vein developed sudden onset of dyspnea. Multiple cavitating nodules revealed under CT were aspirated yielding purulent fluid. MRSA isolates, from both the lung and blood had identical susceptibility ...
Vahanian Alec - - 2010
The new percutaneous mitral valve repair techniques are at an early stage. Preliminary series show that they are feasible; however, they need to be further evaluated in comparison with contemporary treatment to accurately assess their efficiency. Potential applications may benefit high-risk patients after thorough evaluation.
Banakal Sanjayakumar C - - 2010
The use of intraoperative transesophageal echocardiography (TEE) in assessment of the mitral valve repair is well established. It has significantly contributed to the excellent results of mitral valvuloplasty in the current era. This article reviews various two-dimensional echocardiographic planes to assess the mitral valve apparatus, mechanisms of mitral regurgitation, different ...
Jamieson Wr Eric - - 2010
Since the 2006 Surgical Technology International monograph on valvular prostheses, there have been significant developmental and investigative advances, particularly for transcatheter implantation. Aortic bioprostheses and mechanical prostheses continue to incorporate design changes to optimize hemodynamics and prevent prosthesis-patient mismatch and to have a potential satisfactory influence on survival. There have ...
Brown Martin R - - 2010
The evolution of echocardiography from 2-Dimensional Transthoracic Echo through to real time 3-Dimensional Transoesophageal Echo has enabled more accurate visualisation and quantification of valvular disorders especially prosthetic mitral valve paravalvular regurgitation. However, validation of accuracy is rarely confirmed by surgical or post-mortem specimens. We present a case directly comparing different ...
Sauer Matthias - - 2010
Herein, we present an unusual case of a 48-year-old patient with Ehlers-Danlos syndrome (classic type) with multiple cardiovascular pathologies, including mitral regurgitation, a dilated aortic root, and chronic atrial fibrillation. A complex mitral valve repair, modified cryo-Maze procedure, and aortic valve-sparing operation (reimplantation) were performed, which were further complicated by ...
Fukunaga Naoto - - 2010
A 76-year-old woman with a history of percutaneous transvenous mitral commissurotomy and repeated hospital admissions due to heart failure was referred for an operation for severe mitral valve stenosis. She presented with hypertension, hyperlipidemia and cerebral infarction with stenosis of right internal carotid artery, retinopathy, neuropathy and nephropathy caused by ...
Bizzarri Federico - - 2010
Myxomatous mitral regurgitation (type II Carpentier's functional classification) affects about 1-2% of the population. This represents a very common indication for valve surgery resulting in a low percentage of repairs compared to replacement which is actually performed. In the last decades, several methods for mitral valve repair have been developed, ...
Minardi Giovanni - - 2010
The anterior mitral leaflet cleft is an unusual congenital lesion most often encountered in association with other congenital heart defects. The isolated anterior leaflet cleft is quite a rare anomaly and is usually cause of mitral valve regurgitation. The importance of the lesion is that it is often correctable. When ...
Panos Aristotelis - - 2010
Adequate exposure is a prerequisite for open valve surgery. The mitral valve can rarely be very challenging to expose. We describe a redo double valve replacement in a patient with nephrogenic systemic fibrosis in whom exposure of the mitral valve was achieved with cardiac autotransplantation.
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