Mitral valve reconstruction for degenerative myxomatous mitral regurgitation, techniques, advances and results

Author(s):  
J. Tatoulis ◽  
Q. Chen ◽  
S. Chaiyaroj
1994 ◽  
Vol 58 (3) ◽  
pp. 668-676 ◽  
Author(s):  
Cary W. Akins ◽  
Alan D. Hilgenberg ◽  
Mortimer J. Buckley ◽  
Gus J. Vlahakes ◽  
David F. Torchiana ◽  
...  

2014 ◽  
Vol 0 (0) ◽  
pp. 1-3
Author(s):  
Susanne Rutschow ◽  
Sebastian Jäger ◽  
Michael C. Gross

Abstract Mitral regurgitation is associated with a worsened prognosis in dilated cardiomyopathy. First standard therapy consists of a mitral valve reconstruction through heart surgery including the heart–lung machine. In patients with high comorbidity, catheter-based techniques have been developed. In the Evolution I study, the MONARC system was implanted in the coronary sinus in the functional mitral regurgitation. A reduction in regurgitation by >1 grade was documented in 50% of the patients. MitraClip is an alternative, edge-to-edge technique, which joined the posterior and anterior leaflet by implanting a clip. It can be used for both functional and degenerative mitral regurgitations. We reported a case of MitraClip procedure with the use of two clips and a reduction of mitral regurgitation to grade 0–1 after implanting a MONARC device four years ago with missing relevant reduction in mitral regurgitation. With this report, we illustrated the management of Mitraclip in a patient with an implanted MONARC device and technical difficulties through the bowing of the posterior annulus.


1986 ◽  
Vol 1 (3) ◽  
pp. 217-231 ◽  
Author(s):  
JAMES H. OURY ◽  
TODD M. GREHL ◽  
JOHN J. LAMBERTI ◽  
WILLIAM W. ANGELL

2005 ◽  
Vol 6 (2) ◽  
pp. 27
Author(s):  
Dimitrios Buklas ◽  
Massimo Massetti ◽  
Eric Saloux ◽  
Eugenio Neri ◽  
Olivier LePage ◽  
...  

Several techniques are currently in use for mitral valve reconstruction. We report a mitral repair case in which the use of a combination of different surgical techniques resulted in the necessary correction. A 47-year-old woman underwent surgical intervention to treat severe mitral valve insufficiency due to A1/A2/A3 and P2 prolapsed valve tissue. A combination of quadrangular resection, sliding leaflet, single chordal transposition, "flip-over" leaflet, and ring annuloplasty techniques were applied, and postsurgical correct valve function was documented by results of a left ventricular saline filling test and transesophageal echocardiography control. Complex mitral valve repairing techniques can be combined to reestablish valvular function.


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