Document Detail


Status of mitral valve surgery.
MedLine Citation:
PMID:  15075737     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE OF REVIEW: To review the evolution of mitral valve repair and outline currently favored repair techniques. RECENT FINDINGS: Chordal replacement with polytetrafluoroethylene sutures is an accepted and reproducible technique for repair of the anterior leaflet. Most posterior leaflet problems can be addressed with either a quadrangular resection or a sliding repair. SUMMARY: Mitral valve surgery has gradually evolved over the period of the last 50 years. Initially, most surgeons replaced the mitral valve in patients with regurgitant disease. It is now known, however, that long-term outcome for patients undergoing repair is superior to that for patients undergoing replacement. Mitral valve repair avoids the complications associated with the artificial valve and anticoagulation. The ability to reproducibly repair the mitral valve requires a detailed knowledge of the disease process and the reparative techniques. This article describes the current approach to mitral valve surgery and the important concepts necessary to achieve a durable repair.
Authors:
Jon-Cecil M Walkes; Michael J Reardon
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Current opinion in cardiology     Volume:  19     ISSN:  0268-4705     ISO Abbreviation:  Curr. Opin. Cardiol.     Publication Date:  2004 Mar 
Date Detail:
Created Date:  2004-04-12     Completed Date:  2004-12-20     Revised Date:  2006-05-04    
Medline Journal Info:
Nlm Unique ID:  8608087     Medline TA:  Curr Opin Cardiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  117-22     Citation Subset:  IM    
Affiliation:
Methodist Hospital, Houston, Texas, USA.
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MeSH Terms
Descriptor/Qualifier:
Balloon Dilatation* / methods
Echocardiography, Transesophageal
Heart Valve Diseases / surgery*
Heart Valve Prosthesis
Humans
Mitral Valve / surgery*
Mitral Valve Prolapse / surgery
Preoperative Care
Treatment Outcome

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


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