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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.
Purvis John A - - 2010
An asymptomatic 35-year-old woman with history of coarctation repair underwent routine echo. This showed a bicuspid aortic valve with a significant gradient in the left ventricular outflow tract (LVOT). The anterior mitral valve leaflet appeared redundant. Transoesophageal echo showed thickened chordae tendineae from both mitral valve leaflets inserted into a ...
Paul Biswajit - - 2010
Rheumatic mitral valve disease being common in India, valve replacement and hence thrombosis of prosthetic heart valves (PHV) are not uncommon. The diagnosis is commonly established by increased gradients across PHV during transthoracic echo and restricted leaflet movement during transesophageal echo or fluoroscopy. We demonstrated both the leaflets of a ...
Carabello Blase A - - 2009
Because there is no proven effective medical therapy for mitral regurgitation (MR), mitral valve repair (MVRpr) is the treatment of choice for patients with severe primary nonrheumatic MR. A successfully performed and properly timed MVRpr may lead to a normal lifestyle and life span. The alternative to repair is mitral ...
Kahlert Philipp - - 2009
Transfemoral aortic valve implantation has emerged as a promising alternative to surgical aortic valve replacement for high-risk patients with severe symptomatic aortic stenosis. In the setting of previous mechanical mitral valve replacement, the procedure represents a challenge due to the risk of interference and subsequent functional impairment of the mechanical ...
Dote Kinuko - - 2009
In a 65-year-old man with infective endocarditis, multiple mitral valve aneurysms were detected by echocardiography. Surgical treatment was successful. Aneurysms of the valve are a relatively rare complication of infective endocarditis. Prompt diagnosis and treatment can prevent complications such as embolisation and rupture of the aneurysms. For a patient with ...
Mahmood Feroze F Department of Anesthesia and Critical Care and Pain Management, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA. - - 2009
Application of annuloplasty rings during mitral valve (MV) repair has been shown to significantly change the mitral annular geometry. Until recently, a comprehensive two-dimensional echocardiographic evaluation of annular geometric changes was difficult owing to its nonplanar orientation. In this study, an analysis of the three-dimensional intraoperative transesophageal echocardiographic evaluation of ...
Leibundgut Gregor - - 2010
The authors report the case of a 77-year-old male patient with sinus rhythm and a first-degree atrioventricular (AV) block who was referred for echocardiographic follow-up 18 years after aortic valve replacement. Left ventricular systolic function as well as the function of the aortic prosthesis was normal. Systolic mitral regurgitation (MR) ...
Ruyra-Baliarda Xavier - - 2010
Mitral valve repair is the procedure of choice to treat mitral valve regurgitation. However, the feasibility and durability of repair are influenced strongly by the valve pathology. The classic features of degenerative mitral valve disease include leaflet prolapse and annular dilatation. Risk of repair failure is increased by isolated anterior ...
Goetzenich Andreas - - 2010
OBJECTIVE: Transcatheter replacement or repair of mitral valve regurgitation has proved demanding. We aimed for a new approach to anchor a biologic heart valve in the mitral position by inserting a valve-carrying hollow body into the left atrium. This approach was investigated in both a simulation and an animal model. ...
Du Xin - - 2011
Cleft of the post mitral valve leaflet is extremely rare congenital cause of mitral regurgitation. Only six cases have being reported in literature. We report the case of a 34-year-old man with isolated cleft in the posterior mitral valve leaflet causing severe mitral regurgitation. The patient had been experiencing limitation ...
Turkoz Riza - - 2009
Duplication of mitral valve is a very rare anomaly. It is characterized by two independent mitral valve apparatuses (leaflets and annulus) and subvalvular apparatuses (chordae and papillary muscles) that function well by themselves. In this report, we present duplicate mitral valve with parachute chordal attachment and mitral stenosis in an ...
He Zhaoming - - 2009
Mitral valve edge-to-edge repair (ETER) alters valve mechanics, which may impact efficacy and durability of the repair. The objective of this paper was to quantify stretches in the central region of the anterior leaflet of the mitral valve after ETER with a single suture and 6 mm suture. Sixteen markers, ...
Bruschi Giuseppe - - 2009
Concerns exist in the field of transcatheter aortic valve implantation regarding the treatment of patients with mechanical mitral valve for possible interference between the percutaneous aortic valve and the mechanical mitral prosthesis. We report our experience with percutaneous aortic valve implantation in 4 patients with severe aortic stenosis, previously operated ...
Sareyyupoglu Basar - - 2010
We present a case with an unusual cause of poor venous drainage during cardiopulmonary bypass for robotic-assisted mitral valve repair.
Zacek Pavel - - 2010
Modified biatrial approach to the mitral valve is described. The hockey-stick incision combines the advantage of excellent exposure with low surgical risk and easy reconstruction.
Calafiore Antonio M - - 2010
A 74-year-old woman showed electrocardiographic signs of severe lateral ischemia with no hemodynamic consequence after mitral valve repair for severe mitral regurgitation. An angiogram showed interruption of the proximal circumflex artery. The patients then underwent an on-pump beating heart marginal branch revascularization. A new angiogram performed before discharge showed a ...
Imura Hajime - - 2009
We experienced an unusual case of partial atrioventricular septal defect in an elderly patient. A preoperative ultrasonic cardiogram revealed the mitral leaflet pouching toward the right atrium and suggested the presence of a ventricular septal defect underneath the atrioventricular valve. The mitral aneurysm was diagnosed as a septal aneurysm on ...
Wong M H - - 2009
A 40-year-old Malay woman presented with increasing lethargy, palpitation and shortness of breath, 17 years after a mitral and aortic valve replacement. A Starr-Edwards prosthetic valve replaced the mitral valve, and a Bjork-Shiley prosthetic valve replaced the aortic valve. Biochemical parameters demonstrated intravascular haemolysis, as evidenced by haemoglobin 7.8 g/dL, ...
Ishikawa Norihiko - - 2009
This case report presents the first robot-assisted totally endoscopic mitral valve plasty in Japan. A 54-year-old woman was found by echocardiography to have grade III mitral valve regurgitation because of prolapse of the posterior leaflet. Surgical repair was performed using the da Vinci Surgical System. For the totally endoscopic mitral ...
Hong Susie N - - 2009
Posterior mitral valve (MV) leaflet aneurysms are extremely rare complications of infective endocarditis (IE). When MV aneurysms occur, they usually involve the anterior leaflet. Real time three-dimensional transesophageal echocardiography (RT3D TEE) has been recently developed and provides views of unparalleled quality by optimizing visualization of spatial relationships. We present a ...
Ginghină Carmen - - 2009
Congenital heart diseases are broadly defined as those cardiac anomalies that are present at birth. By their very nature, such defects have their origin in embryonic development. Congenital mitral valve regurgitation is a rare disease occurring in infancy or childhood. In up to 60% of cases, congenital anomalies of the ...
LaBounty Troy M - - 2009
Retrospectively gated helical cardiac computed tomographic angiography (CCTA) has been reported accurate in the evaluation of isolated valvular abnormalities, but its ability to provide comprehensive assessment of common valvular lesions is not established. We evaluated 56 consecutive patients undergoing 64-detector retrospective electrocardiogram-gated CCTA and transesophageal echocardiography for the presence of ...
Ozeke Ozcan - - 2010
Double-orifice mitral valve is an uncommon anomaly of the mitral valve with a single fibrous annulus with 2 orifices opening into the left ventricle. Three major types of this anomaly are recognized: (1) the eccentric or hole type (accounting for about 85%), (2) the central or bridge type (about 15%), ...
Becerra Jose Manuel - - 2009
Sixty-three-year-old male patient. Previous history of rheumatic valvular disease. He underwent multiple mitral and aortic valve replacements. Nowadays, he presents a periprosthetic mitral leak. He underwent a leak closure by using a percutaneous approach. During the procedure, the superiority of 3D TEE over 2D TEE was confirmed for wires and ...
Stevens Louis-Mathieu - - 2010
Mitral valve repair is the procedure of choice for severe degenerative mitral regurgitation (MR). The objective of this study was to review prospectively gathered echocardiographic and clinical results with mitral valve repair for degenerative disease. Between May 1995 and July 2004, 403 patients underwent mitral valve repair for degenerative disease ...
Anderson Curtis A - - 2009
The results of mitral valve repair for structural disease are durable and are generally accepted to be superior to mitral valve replacement. Following the early pioneering work of Carpentier, most advances in mitral repair have involved performing the same repair through ever smaller incisions in hopes of minimizing tissue trauma. ...
Bhattacharya Shamik - - 2009
BACKGROUND AND AIM OF THE STUDY: Mitral annulus mechanics are related to annular dilatation, and are not well understood. The study aim was to develop a method to measure regional annulus tension (AT) during valve closure, and to understand its role in annular dilatation. METHODS: A porcine mitral valve was ...
Silbiger Jeffrey J - - 2009
The mitral valve frequently becomes secondarily infected in aortic valve endocarditis. A number of mechanisms have been invoked to explain this association, including: (i) aortic regurgitation (jet lesions); (ii) vegetation prolapse into the left ventricular outflow tract ('kissing lesions'); and (iii) a contiguous spread of infected tissue. A variety of ...
Totaro Pasquale - - 2009
The minimally invasive Heartport (HP)-assisted technique has become first choice option for mitral valve surgery in many centres.The pool of patients potentially treated using HP techniques, however, is still limited by the presence of peripheral vessel disease, expecially in the elderly population. Alternative approaches to using the HP technique safely ...
Swanson Julia C JC Department of Cardiothoracic Surgery, Stanford University School of Medicine, Stanford, CA 94305-5247, - - 2009
Although previous histologic studies have demonstrated the presence of blood vessels in the anterior mitral leaflet (AML) and second-order chordae (SC), little is known of the pattern of leaflet perfusion. Hence, the pattern and source of AML perfusion was investigated in an ovine model. Fluorescein angiograms were obtained in 17 ...
Swaans M J - - 2009
We report a case of percutaneous mitral valve repair, using the Mitraclip device, in which we show that application of real-time three-dimensional transoesophageal echocardiography (3D-TEE) is extremely helpful for the guidance of this procedure. Because of its excellent visualization capacities, 3D-TEE simplifies the transseptal puncture, the positioning of the clip ...
Brinkman William T - - 2009
Currently aortic valve replacement is performed for patients with severe aortic stenosis and symptoms or objective pathophysiologic consequences such as left ventricular dysfunction. For transcatheter mitral valve interventions, the complex pathophysiology of mitral regurgitation with varying causes along with challenging imaging and delivery issues has led to slower than anticipated ...
Bouallal Rachid - - 2009
Bioprosthetic valve thrombosis is considered extremely unlikely, thus usually allowing patients to avoid long-term anticoagulation. The authors report the case of a patient with late bioprosthetic mitral valve thrombosis associated with a history of postoperative heparin-induced thrombocytopenia. The patient successfully underwent mitral valve replacement.
Jin H - - 2009
We report a case of a 22-year-old woman with a known history of homozygous familial hypercholesterolemia. The patient was admitted to our hospital with the chief complaints of chest discomfort and dyspnea on exertion. Preoperative echocardiography revealed highly echogenic aortic and mitral valves as well as a narrowed aortic root. ...
Wong M C G - - 2009
Valvular heart disease occurs in 2-3% of the general population with an increase in prevalence with advancing age. The aetiology of valvular heart disease has evolved in recent decades with degenerative aortic and mitral valve disease supplanting rheumatic heart disease as a primary cause. The common valve lesions to be ...
Harish A - - 2009
Aneurysm of mitral aortic intervalvular fibrosa is a rare but dreaded complication of aortic valve endocarditis. We report a patient with large aneurysm of mitral aortic intervalvular fibrosa that ruptured into left atrium, secondary to aortic valve endocarditis. Patient underwent a successful surgical repair.
Luckie Matthew - - 2009
Aortic disease and aortic valve regurgitation are well documented in association with ankylosing spondylitis, although involvement of the mitral valve occurs more rarely. We report a case of severe mitral and aortic regurgitation in association with ankylosing spondylitis. We then discuss the characteristic cardiac manifestations that may occur in association ...
Hamza Anna - - 2009
Radiation therapy may affect all of the layers of the heart (epicardial arteries, pericardium, valves, and myocardium). This is especially true after mediastinal or breast irradiation. Coronary artery disease, with resultant myocardial infarction, is the most common cause of death. We present a patient who developed typical constrictive pericarditis as ...
Da Col Uberto - - 2010
Repair of posterior left ventricular ischemic aneurysms implies an extracardiac approach to reshape the ventricular geometry frequently associated with mitral surgery. A transatrial technique was described for lesions following mitral surgery or for subvalvular idiopathic cases. A transmitral approach was used for ischemic or traumatic pseudoaneurysm. We describe a case ...
Eickhoff Philipp - - 2009
Acute endocarditis is a rare complication of ulcerative colitis. We report on a young woman, who initially presented with fever, elevated inflammatory markers, and symptoms of ulcerative pancolitis but without any cardiac co-morbidity. A few days after total colectomy, the patient complained of acute abdominal pain which led to the ...
Yoshikawa Masaharu - - 2009
A 43-year-old man underwent mitral valve repair for mitral valve insufficiency due to infective endocarditis, and tricuspid valve repair for iatrogenic chordal rupture due to multiple endomyocardial biopsies after orthotopic cardiac transplantation. Valve repair using no artificial material is feasible, instead of valve replacement, to decrease the risk of recurrent ...
Campanella Antonio - - 2009
We report a case in which replacement of a low-profile porcine Liotta bioprosthesis was required 21 years after initial implantation. The patient underwent mitral valve replacement with a 28-mm Liotta bioprosthesis in 1985 for mitral stenosis. Twenty-one years later, severe mitral regurgitation was detected at echocardiography and mitral valve reoperation ...
G?lmez Oyk? - - 2009
Mitral valve aneurysm (MVA) is uncommon and occurs most commonly in association with infective endocarditis involving the aortic valve. A 66-year-old man with anterior MVA is presented. Two-dimensional transthoracic echocardiography and transesophageal echocardiography revealed a saccular structure in the anterior mitral leaflet that bulged into the left atrium throughout the ...
Fattouch Khalil - - 2009
OBJECTIVE: Surgical management of moderate chronic ischemic mitral valve regurgitation is still debated. The aim of this study was to evaluate the effect of adding mitral valve repair to coronary artery bypass grafting on clinical outcomes and left ventricular remodeling in patients who underwent coronary artery bypass grafting alone versus ...
Siminiak Tomasz - - 2009
This report presents the procedural results from the AMADEUS trial that support coronary sinus (CS)-based percutaneous mitral annuloplasty. Despite therapeutic advances, functional mitral regurgitation (MR) continues to be a significant clinical problem for patients with dilated cardiomyopathy. CS approaches to mitral valve repair have been viewed with skepticism because of ...
Chikwe Joanna - - 2009
Mitral valve repair offers superior long-term survival, freedom from cardiac morbidity, and quality of life in patients with severe mitral regurgitation compared to medical management and mitral valve replacement; it is the treatment of choice in these patients. Mitral valve repair is the only treatment that restores normal life expectancy ...
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