Surgical repair for isolated congenital double-orifice mitral valve

SummaryWe describe an infant with complex congenital heart disease, including double orifice of the mitral valve associated with complex subaortic stenosis. Transthoracic and intraoperative transesophageal echocardiography were used to define three distinct anatomic abnormalities, all potentially contributing to the subaortic obstruction. Stepwise surgical repair with transesophageal echocardiographic monitoring of hemodynamic function ensured optimal initial surgical results. Overwhelming postoperative complications ensued, however, and the patient died. Postmortem findings are also presented.

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Surgical repair of double-orifice of the mitral valve in cases with an atrioventricular canal defects

The Japanese Journal of Thoracic and Cardiovascular Surgery ◽

10.1007/bf02912474 ◽

2001 ◽

Vol 49 (11) ◽

pp. 656-659 ◽

Cited By ~ 4

Author(s):

Noritaka Ohta ◽

Kisaburou Sakamoto ◽

Miwako Kado ◽

Hisao Nagato ◽

Masahiko Nishioka ◽

...

Keyword(s):

Mitral Valve ◽

Surgical Repair ◽

Atrioventricular Canal ◽

Double Orifice

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A very unusual combination of straddling and overriding of the tricuspid valve associated with clefting of the mitral valve

Cardiology in the Young ◽

10.1017/s1047951105000879 ◽

2005 ◽

Vol 15 (4) ◽

pp. 422-424 ◽

Cited By ~ 2

Author(s):

Liane Eberhardt ◽

Philippe Chetaille ◽

Bernard Kreitmann

Keyword(s):

Mitral Valve ◽

Tricuspid Valve ◽

Septal Defect ◽

Surgical Repair ◽

Atrioventricular Septal Defect ◽

Left Ventricular ◽

Atrioventricular Junction ◽

Unusual Association ◽

The Right ◽

Double Orifice

We describe a patient in whom we found dual orifices in a straddling and overriding tricuspid valve, with two normally sized ventricles and a cleft in the mitral valve. The patient underwent successful surgical repair. We discuss the concept of “double-orifice right atrium”, as well as the need to differentiate the isolated cleft of the morphologically mitral valve from the zone of apposition between the left ventricular components of the bridging leaflets seen in the setting of atrioventricular septal defect with common atrioventricular junction. We emphasise the unusual association of these abnormalities of the right and left atrioventricular valves in patients with separate atrioventricular junctions.

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Assessment of left ventricular and mitral valve geometry and function after surgical repair of submitral left ventricular aneurysms with multi-slice computed tomography

The Thoracic and Cardiovascular Surgeon ◽

10.1055/s-0032-1332726 ◽

2013 ◽

Vol 61 (S 01) ◽

Author(s):

AJ Penkalla ◽

N Solowjowa ◽

M Dandel ◽

M Pasic ◽

Y Weng ◽

...

Keyword(s):

Computed Tomography ◽

Mitral Valve ◽

Surgical Repair ◽

Left Ventricular ◽

Mitral Valve Geometry ◽

And Function

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Diagnosis and Management of the Double Orifice Mitral Valve: Three Case Reports

The Heart Surgery Forum ◽

10.1532/hsf98.20041132 ◽

2005 ◽

Vol 8 (4) ◽

pp. E236-E240 ◽

Cited By ~ 1

Author(s):

Omer Faruk Dogan ◽

Metin Demircin ◽

Tevfik Karagoz

Keyword(s):

Mitral Valve ◽

Case Reports ◽

Diagnosis And Management ◽

Double Orifice

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Surgical Repair of the Partial Form of Persistent Common Atrioventricular Canal, with Special Reference to the Problem of Mitral Valve Incompetence

Circulation ◽

10.1161/01.cir.31.4s1.i-31 ◽

1965 ◽

Vol 31 (4s1) ◽

Cited By ~ 6

Author(s):

G. C. RASTELLI ◽

WILLIAM H. WEIDMAN ◽

JOHN W. KIRKLIN

Keyword(s):

Mitral Valve ◽

Special Reference ◽

Surgical Repair ◽

Atrioventricular Canal ◽

Partial Form

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Edge-to-edge repair for mitral regurgitation associated with isolated double-orifice mitral valve

Interactive Cardiovascular and Thoracic Surgery ◽

10.1093/icvts/ivx365 ◽

2017 ◽

Vol 26 (3) ◽

pp. 529-531 ◽

Cited By ~ 1

Author(s):

Takeshi Oda ◽

Takanori Kono ◽

Keiichi Akaiwa ◽

Katsuhiko Nakamura

Keyword(s):

Mitral Valve ◽

Mitral Regurgitation ◽

Double Orifice

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Double-orifice mitral valve associated with atrioventricular canal defects

Pan African Medical Journal ◽

10.11604/pamj.2016.23.199.8676 ◽

2016 ◽

Vol 23 ◽

Author(s):

Jaafar Rhissassi ◽

Hicham El Malki ◽

Fatima Azzahra Benmessaoud ◽

Tahar El Kandoussi ◽

Mohamed Laaroussi

Keyword(s):

Mitral Valve ◽

Atrioventricular Canal ◽

Double Orifice

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Single-Center Experience with Adjustable Annuloplasty Ring in Degenerative Mitral Regurgitation

Innovations Technology and Techniques in Cardiothoracic and Vascular Surgery ◽

10.1097/imi.0000000000000186 ◽

2015 ◽

Vol 10 (4) ◽

pp. 248-251 ◽

Cited By ~ 1

Author(s):

Markus Czesla ◽

Julia Götte ◽

Vladimir Voth ◽

Nicolas Doll

Keyword(s):

Mitral Valve ◽

Mitral Regurgitation ◽

Surgical Repair ◽

Fine Tuning ◽

Single Center ◽

Annuloplasty Ring ◽

Single Center Experience ◽

Complex Anatomy ◽

Repair Procedure ◽

Systolic Anterior Movement

Objective Owing to the complex anatomy of the mitral valve, successful surgical repair of degenerative regurgitation remains a challenging procedure in cardiac surgery. Methods This paper aimed to report on our single-center experience with 20 patients who received an adjustable annuloplasty ring (Cardinal ring, ValtechCardio Ltd, Or Yehuda, Israel) as part of their mitral valve repair procedure. The device allows for intraoperative echocardiography-guided ring size adjustments under beating-heart conditions. Results All of the 20 patients left the operating room without any residual mitral regurgitation. There was no risk of systolic anterior movement (SAM) because of image-guided fine tuning of the ring before weaning the patient from bypass. Conclusions Further multicenter data are required to prove the concept of adjustable annuloplasty devices.

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