| Catheter-based approach to mitral regurgitation. | |
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MedLine Citation:
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PMID: 14632950 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Mitral Regurgitation (MR) is a common medical problem. MR is also a prognostic factor; patients with severe symptomatic MR have a poor prognosis with an annual mortality rate of 5% without surgical intervention. An anatomic understanding of the normal and regurgitant mitral valve is essential in order to evaluate appropriately the severity and impact of MR. We briefly discuss mitral complex anatomy, MR evaluation, and treatment options (surgical and catheter-based alternatives) according to the type of lesion found. In particular, our group has shown temporal percutaneous annuloplasty and definitive percutaneous edge-to-edge mitral valve repair to be a feasible technique. Recently a study evaluating endovascular mitral valve edge-to-edge repair was successfully initiated by our group. Acute and chronic ischemic mitral regurgitation and special situations, such as paravalvular leaks, hypertrophic obstructive cardiomyopathy, and mixed lesions are also discussed. Future directions may include the percutaneous transcatheter implantation of a bioprosthetic valve in mitral position. |
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Authors:
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Jóse Antonio Condado; Manuel Vélez-Gimón |
Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: Journal of interventional cardiology Volume: 16 ISSN: 0896-4327 ISO Abbreviation: J Interv Cardiol Publication Date: 2003 Dec |
Date Detail:
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Created Date: 2003-11-24 Completed Date: 2004-02-05 Revised Date: 2005-11-16 |
Medline Journal Info:
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Nlm Unique ID: 8907826 Medline TA: J Interv Cardiol Country: United States |
Other Details:
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Languages: eng Pagination: 523-34 Citation Subset: IM |
Affiliation:
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Cardiology Unit, Hospital Miguel Pérez Carreño, Caracas, Venezuela. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Acute Disease Chronic Disease Heart Catheterization / methods*, trends Heart Valve Prosthesis Implantation / instrumentation, methods* Humans Mitral Valve / surgery* Mitral Valve Insufficiency / complications, surgery, therapy* Myocardial Ischemia / complications, drug therapy Severity of Illness Index Ventricular Dysfunction, Left / complications, surgery, therapy |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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