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Chikwe Joanna - - 2011
Aims Feasibility and efficacy of mitral repair in the elderly remain controversial. This study aims to compare outcomes of mitral repair and replacement in octogenarians. Methods and results We compared the outcomes of 322 consecutive octogenarian patients (mean age 82.6 ± 2.2 years) who underwent mitral repair (n = 227, ...
Pai Ramdas G - - 2010
BACKGROUND: Mitral regurgitation (MR) is common in those with severe aortic regurgitation (AR) and can predispose to atrial fibrillation, heart failure, and a need for mitral valve surgery during aortic valve replacement (AVR). However, little data exist as to its clinical and prognostic implications. METHODS AND RESULTS: Search of our ...
Liang Kae-Woei - - 2010
Percutaneous transvenous mitral commissurotomy (PTMC) is an effective treatment for mitral stenosis, but transseptal puncture carries a certain risk of complications. Our previous report has shown the effectiveness of phase-array intracardiac echocardiography (ICE)-guided transseptal puncture in patients with dilated left atrium undergoing PTMC. However, there are few reports comparing the ...
Van den Branden B J L - - 2010
Background. Percutaneous mitral valve (MV) repair using the edge-to-edge clip technique might be an alternative for patients with significant mitral regurgitation (MR) and an unacceptably high risk for operative repair or replacement. We report the short-term safety and efficacy of this new technique in a high-risk population.Methods. All consecutive high-risk ...
Vassileva Christina M - - 2011
The optimal surgical strategy for the management of ischemic mitral regurgitation (IMR) is still debated. The purpose of this study was to perform a meta-analysis summarizing the evidence favoring one technique over another (repair vs replacement). A search of the English literature in PubMed was performed using 'ischemic mitral regurgitation' ...
Calafiore Antonio M - - 2011
We evaluated results of an echocardiographically based strategy combining mitral annuloplasty with other procedures to treat chronic ischemic mitral regurgitation. From March 2006 to February 2009, 147 patients underwent mitral valve surgery for chronic ischemic mitral regurgitation. Mean effective regurgitant orifice was 36 ± 11 mm(2), and ejection fraction was 35% ± ...
Maffessanti Francesco - - 2010
Mitral valve (MV) repair has become the preferred treatment for mitral regurgitation associated with degenerative MV disease. Although the functional benefits of early MV repair are known, the associated alterations in left ventricular (LV) shape have not been studied. The aim of this study was to evaluate serial changes in ...
Spiegelstein Dan - - 2010
BACKGROUND: Closed and open annuloplasty rings are both used for mitral valve repair. This study compared the clinical and echocardiographic results in patients with degenerative mitral disease undergoing MV repair with closed semirigid rings vs open bands. METHODS: Between 2004 and 2008, 377 patients (mean age, 59 + or - ...
Basel Halil - - 2010
The aim of this study was to compare De Vega semicircular annuloplasty and a new biodegradable ring annuloplasty technique in patients requiring surgical intervention for tricuspid valve disease with concomitant disease of the mitral valve. Between January 2004 and May 2008, 129 consecutive patients underwent annuloplasty procedures to correct tricuspid ...
Yazicioğlu Nuran - - 2010
The widespread use of percutaneous mitral commissurotomy (PMC) has led to an increase in restenosis cases. The data regarding follow-up results of repeat PMC are quite limited. The aim of this retrospective analysis is to evaluate the immediate and midterm results of the second PMC, in patients with symptomatic mitral ...
Nair Krishnakumar - - 2010
To compare the results of percutaneous mitral valvuloplasty (BMV) for mitral restenosis in post-BMV versus postclosed mitral valvotomy (CMV) patients. Ninety-two patients who underwent BMV for mitral restenosis were followed up prospectively. Of these, 28 patients had undergone previous percutaneous mitral valvuloplasty (PRIOR BMV) and 64 patients had undergone previous ...
Guedes Marco Antonio Vieira - - 2010
The right anterolateral thoracotomy is an alternative technique for surgical approach of mitral valve. In these cases, femoral-femoral bypass still has been used, rising occurrence of complications related to femoral cannulation. Objective: Describe the technique and results of mitral valve treatment by right anterolateral thoracotomy using aortic cannulation for cardiac ...
Nietlispach Fabian - - 2010
This study sought to describe a method of paravalvular leak closure using a purpose-specific occlusion device. Transcatheter closure of paravalvular leaks has been hampered by technical challenges, the limitations of available imaging modalities, and the lack of closure devices specifically designed for this purpose. Patients with severe symptomatic paravalvular regurgitation ...
Mauri Laura - - 2010
Mitral valve surgery is the standard of care for patients with symptomatic mitral regurgitation (MR) or asymptomatic MR with evidence of left ventricular dysfunction or dilation. Whether an endovascular approach to repair can offer comparable effectiveness with improved safety remains to be determined in randomized trials. The EVEREST II Trial ...
Stellin Giovanni - - 2010
We sought to evaluate the results of surgical repair and determine predictors for the late outcome of congenital mitral valve dysplasia. Preoperative, operative and postoperative data were obtained from an institutional database; follow-up data came from regular clinical evaluation at our institution or elsewhere. Patients were divided into isolated and ...
Nakajima Masato - - 2010
OBJECTIVE: Leaflet folding plasty was introduced as an effective technique to avoid systolic anterior motion (SAM) after mitral valve repair. The purpose of this study was to investigate the midterm outcome of leaflet folding plasty following a review of our 10-year experience. METHODS: Between October 1997 and May 2008, a ...
Rifaie Osama - - 2010
We sought to explore the immediate and long-term outcome of combined percutaneous valvuloplasty of the mitral and/or aortic and/or tricuspid valves in a series of patients with rheumatic valvular stenosis. A total of 11 patients (three underwent percutaneous mitral valvuloplasty [PMV], percutaneous aortic valvuloplasty [PAV] and percutaneous tricuspid valvuloplasty [PTV], ...
Sakamoto Hiroaki - - 2010
Recently, some articles about patient-prosthesis mismatch (PPM) of the mitral valve have been published. However, the outcome of PPM of the mitral valve remains controversial. The objective of this study was to determine the impact of mitral valve PPM on clinical results after mitral valve replacement (MVR). Eighty-four patients underwent ...
Topal Aşkin Ender - - 2010
The objective of this study was to evaluate the recovery of the left ventricle (LV) function, and to analyze postoperative size reduction of LV and left atrium (LA), after mitral valve replacement (MVR) in patients with chronic rheumatic mitral disease. Thirty consecutive elective patients with MVR for mixed mitral disease ...
Kim K-H - - 2010
Left atrial (LA) volume is an independent prognosticator in various cardiac diseases. The authors assessed the changes of LA volume after successful percutaneous mitral valvuloplasty (PMV) and the impact of LA enlargement on long-term clinical outcome after PMV. From a prospective PMV registry started in 1988, 303 patients (242 women, ...
Kim Hyungtae - - 2010
The purpose of the present study was to evaluate the mid-term results of the Cox maze III procedure (CM-III) combined with open mitral commissurotomy (OMC) for the treatment of rheumatic mitral stenosis (MS) associated with persistent atrial fibrillation (AF). Cardiac rhythm was determined before and after surgery in 50 patients ...
Seibold Joerg - - 2010
Meatal mobilization (MEMO) by distal urethral preparation has been demonstrated to be an efficient surgical technique for the correction of distal hypospadias offering excellent short-term success rates. This study objectively evaluates individual patient satisfaction using a validated score in the long term. A total of 218 patients who underwent hypospadias ...
Antonini-Canterin Francesco - - 2010
At present, no medical therapy is known to affect the progression of rheumatic mitral stenosis (MS). We sought to assess the effect of statin treatment on long-term progression of MS in a large population. From our 20-year database, we identified all patients with rheumatic MS with > or =2 echocardiographies ...
Oshima Kiyohiro - - 2010
It has previously been reported that cardiac troponin I (cTnI) is useful in predicting the postoperative course after cardiac surgery, and that elevated serum cTnI levels are associated with increased in-hospital mortality. However, these findings have been reported in heterogeneous groups of cardiac surgical procedures. In the current study, the ...
Rajani Ronak - - 2010
OBJECTIVES: The aim of this study was to assess the natural history of paravalvular regurgitation at 1 year in patients undergoing TAVI. BACKGROUND: The immediate incidence of paravalvular regurgitation is estimated to be between 65 and 85% following transcatheter aortic valve implantation (TAVI). There is limited data as to whether ...
Jilaihawi Hasan - - 2010
AIMS: To evaluate the potential for mitral annular (MA) size reduction using a novel device utilising therapeutic ultrasound (TU). METHODS AND RESULTS: The ReCor device (ReCor Medical, Inc., Ronkonkoma, NY, USA, Investigational device, not for use in human application) was studied in a closed chest canine animal model (35 dogs). ...
Ito Toshiaki - - 2010
PURPOSE: The purpose of this study was to examine the usefulness of polytetrafluoroethylene (PTFE) patches as artificial mitral leaflets in complex mitral valve plasty. DESCRIPTION: Nineteen patients (mean age, 66 +/- 9 years) who were in need of mitral valve replacement successfully underwent mitral valve plasty with enlargement of the ...
Stulak John M - - 2010
BACKGROUND: Some patients are at high risk for late atrial fibrillation (AF) after mitral valve surgery, even without a prior history of arrhythmias. We examined the incidence and predictors of late AF in patients with functional tricuspid regurgitation (TR) undergoing mitral valve repair. METHODS: From March 1995 to December 2005, ...
Oka Norihiko - - 2010
BACKGROUND: The Ross-Konno procedure has emerged as a complex procedure to address multilevel left ventricular outflow tract obstruction in infants and small children. Significant proportions of patients, however, have concomitant mitral valve disease and require a mitral procedure in addition to the Ross-Konno procedure. Ross-Konno-mitral surgery puts three valves at ...
Bernal Jos? M - - 2010
BACKGROUND: We examined predictors of early and very long-term outcome after combined mitral and tricuspid valve repair for rheumatic disease. METHODS AND RESULTS: Between 1974 and 2002, 153 consecutive patients (mean age, 46.0+/-13.2 years) underwent combined mitral and tricuspid valve repair for rheumatic disease. Mitral disease was predominantly stenosis (82.3%); ...
Lange Ruediger - - 2010
BACKGROUND: In the past, chordal replacement techniques with expanded polytetrafluoroethylene sutures have been primarily reserved for anterior leaflet pathology, whereas the more frequent posterior leaflet prolapse was treated by resection. This study reports midterm results of isolated posterior prolapse repair with chordal replacement without resection as opposed to the quadrangular ...
Takeda Koji - - 2010
The impact of untreated mild-to-moderate mitral regurgitation (MR) on patients undergoing isolated aortic valve replacement (AVR) is uncertain. The aim of this study is to investigate its long-term effects on outcomes. We retrospectively reviewed 193 consecutive patients undergoing isolated AVR between 1993 and 2007. The mean age of the study ...
Fedakar Ali - - 2010
BACKGROUND: We compared results for repairs of rheumatic pure mitral regurgitation (MR) and mixed mitral stenosis (MS) and MR during early and midterm time intervals. METHODS: We retrospectively analyzed 173 patients (mean age 47.6 +/- 15.1 years; 64 males) who underwent surgery for rheumatic heart disease during the period from ...
Pektok Erman - - 2010
BACKGROUND: Conventional annuloplasty rings consist of woven, nondegradable prosthetic material. Their use should theoretically be limited in acute infective endocarditis. Novel biodegradable annuloplasty rings, which are implanted into the annulus, carry theoretical advantages, but have never been evaluated for feasibility and mid-term outcome in such patients. METHODS: Between 2004 and ...
Jung Sung-Ho - - 2010
Tricuspid valve (TV) repair using ring annuloplasty is reportedly to be superior to suture annuloplasty for treating tricuspid regurgitation (TR). The Duran ring TV annuloplasty technique was modified in order to reduce the risk of complete atrioventricular block and aortic valve injury and the outcomes are reported here. The modification ...
Hadidi Ahmed T - - 2010
PURPOSE: A double Y glanuloplasty technique is described for the repair of glanular hypospadias with mobile meatus. MATERIALS: Ninety-seven children with glanular hypospadias and mobile meatus were operated on using this technique in the period from January 2003 to January 2009. Mean age of patients was 12 (range, 4-60) months. ...
Cardoso Luiz Francisco - - 2010
The analysis of immediate and long-term results of mitral valvoplasty by balloon catheter (MVRBC) are still lacking in literature, mainly in the national context. To assess the immediate and late results of patients submitted to mitral valve repair by balloon catheter. A total of 330 consecutive patients were followed-up by ...
Tekümit Hayrettin - - 2010
OBJECTIVE: We have retrospectively analyzed the early and the mid-term results of the operations for modified endoventricular circular patch plasty for left ventricular aneurysm (LVA) repair in our clinic. PATIENTS AND METHODS: Sixty-seven cases with anterior LVA were included in the study. Mean age of the patients were 64.8 +/- ...
Biner Simon - - 2010
We investigated the clinical value of three-dimensional (3D) transesophageal echocardiography (TEE) color flow Doppler (TEE-CFD) for percutaneous transcatheter closure of mitral valve prosthesis paravalvular leaks (PVLs) compared to two-dimensional (2D) TEE. The number, location, and size of the mitral valve prosthesis PVLs were determined in 8 patients using 2D and ...
Schwartz Charles F - - 2010
BACKGROUND: Folding plasty (FP) for posterior mitral leaflet repair (PLR) is a technique that reduces the height of the repaired leaflet, closes the gap created by leaflet resection by rotation of residual leaflet, and reduces the need for localized annular plication. This report reviews late outcomes with FP repair. METHODS: ...
Lapenna Elisabetta - - 2010
This study assesses the results of the 'clover technique' (suturing together the middle point of the free edges of the tricuspid leaflets) for the treatment of tricuspid regurgitation (TR) due to severe prolapse or tethering. From 2001, 66 patients with severe TR due to prolapsing or tethered leaflets underwent 'clover ...
Gregori Francisco F - - 2010
The aim of this study was to assess by Doppler echocardiography (ECO) the functioning of the mitral valve apparatus in patients who have undergone implantation of standardized bovine pericardium chordae (SBPC) for replacement of ruptured or elongated chordae tendineae with significant thinning. SBPC were implanted in 31 patients who had ...
Ota Noritaka - - 2010
OBJECTIVES: Heterotaxy syndrome, which is often associated with atrioventricular valvar regurgitation, has been considered a risk factor for the surgical repair for Fontan candidates. The results of atrioventricular valve repair in this challenging patient population remain largely unknown. METHODS: From July, 1994 to January, 2007, 25 patients with the heterotaxy ...
DiBardino Daniel J - - 2010
OBJECTIVE: To determine the long-term outcomes of mitral valvuloplasty for myxomatous valve disease, rheumatic valve disease, and functional mitral regurgitation. METHODS: A total of 1503 patients underwent mitral valvuloplasty by a single surgeon between February 1972 and April 2008 and were retrospectively reviewed for short- and long-term results. Overall mean ...
Tran D T T - - 2010
The respiratory effects (changes in pH and PaCO(2)) of carbon dioxide insufflation in thoracoscopic surgery in adult patients with pulmonary disease were not documented previously. In this observational study 21 patients scheduled for elective thoracoscopic surgery with one lung ventilation using a double lumen tube and intraoperative carbon dioxide insufflation ...
Perovic S - - 2010
Our purpose was to evaluate patients who underwent failed hypospadias repair. We evaluated 4 different groups of patients who underwent failed hypospadias repair. Group 1: patients who underwent only urethral surgery; group 2: patients who underwent only corpora cavernosa surgery; group 3: patients who underwent urethral and corpora cavernosa surgery; ...
Ryan William H - - 2010
BACKGROUND AND AIM OF THE STUDY: The 30-day outcomes were compared between matched groups of patients undergoing mitral valve procedures through Port Access (femoral cannulation, percutaneous retrograde cardioplegia and aortic occlusion), and through a sternotomy. METHODS: By using a Society of Thoracic Surgeons (STS)-certified, audited database, a total of 1108 ...
Mello Gustavo W S - - 2010
Farmers report that the pods of Luetzelburgia auriculata cause digestive signs and death when ingested by goats. To demonstrate the toxicity of the pods of this plant 12 goats were divided into 4 groups of 3 goats each. Groups 1, 2, 3 and 4 were administered 2.5, 1, 0.5 and ...
Smíd Michal - - 2010
Background. Unoperated severe tricuspid regurgitation (TR) leads to the right ventricle (RV) failure. We wanted to determine if there was near-term postoperative progression of noncorrected mild to moderate functional TR in patients who underwent mitral valve surgery for chronic significant mitral regurgitation (MR) and if RV size and function were ...
Gelfand Eli V - - 2010
BACKGROUND AND AIM OF THE STUDY: For patients with chronic severe mitral regurgitation (MR), one consideration for the timing of mitral valve surgery is the desire to have a preserved postoperative left ventricular ejection fraction (LVEF). It was hypothesized that the preoperative left ventricular (LV) volume and effective forward LVEF ...
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