Document Detail

Percutaneous valve repair for mitral regurgitation using the Carillon Mitral Contour System. Description of the method and case report.
MedLine Citation:
PMID:  17436155     Owner:  NLM     Status:  MEDLINE    
Mitral regurgitation may result from left ventricular dilatation and cause progression of heart failure. Percutaneous techniques for mitral valve repair are under development. Techniques utilizing a trans-coronary venous approach exploit the anatomical relationship between the mitral annulus and the venous system of the heart. The coronary sinus, great cardiac vein and the origin of the anterior interventricular vein surround the posterior mitral annulus. This enables percutaneous approaches to annuloplasty for mitral regurgitation. Devices can be implanted into the coronary veins that modify the shape and size of the mitral annulus. We present a case of ischaemic mitral regurgitation successfully treated by use of a percutaneous approach, the Carillon Mitral Contour System. Significant reduction of the mitral regurgitation jet was observed. The patient was discharged 4 days after the procedure. During the follow-up visits, the patient showed an improved general condition and increased exercise capacity. Procedural steps are shown in detail and the current status of the coronary sinus based technique is discussed. Percutaneous techniques for mitral valve repair may be an attractive alternative to cardiac surgery in heart failure patients with secondary mitral regurgitation. The Carillon Mitral Contour System is under ongoing clinical evaluation in the AMADEUS trial.
Tomasz Siminiak; Ludwik Firek; Olga Jerzykowska; Piotr Kałmucki; Maciej Wołoszyn; Piotr Smuszkiewicz; Rafał Link
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Kardiologia polska     Volume:  65     ISSN:  0022-9032     ISO Abbreviation:  Kardiol Pol     Publication Date:  2007 Mar 
Date Detail:
Created Date:  2007-04-16     Completed Date:  2007-08-30     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0376352     Medline TA:  Kardiol Pol     Country:  Poland    
Other Details:
Languages:  eng     Pagination:  272-8; discussion 279     Citation Subset:  IM    
Poznań University of Medical Scinces, Cradiac and Rehabilitation Hospital, Kowanówko, Poland.
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MeSH Terms
Coronary Angiography
Coronary Vessels / surgery,  ultrasonography
Echocardiography, Transesophageal
Heart Valve Prosthesis Implantation / methods*
Middle Aged
Mitral Valve Insufficiency / radiography,  surgery*,  ultrasonography
Surgical Procedures, Minimally Invasive / methods
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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