scholarly journals Himalayan Fibrillatory Waves in Juvenile Rheumatic Mitral Stenosis

2021 ◽  
Author(s):  
Mohamed Kassim Akheela ◽  
A. Shaheer Ahmed
Keyword(s):  
Atrial Fibrillation ◽  
Mitral Valve ◽  
Left Atrium ◽  
Valve Replacement ◽  
Mitral Valve Replacement ◽  
Oral Anticoagulation ◽  
Mitral Stenosis ◽  
Large Amplitude ◽  
Maze Procedure ◽  
Rheumatic Mitral Stenosis

AbstractAn 18-year-old girl, a known case of rheumatic mitral stenosis, presented with dyspnea and palpitations. Electrocardiogram was done, which revealed atrial fibrillation and a large amplitude atrial fibrillatory wave, which was more than the voltage of R wave V1, a finding which is quite uncommon. Echocardiography revealed a large left atrium which was 80 mm in diameter. The patient was started on oral anticoagulation and referred for mitral valve replacement with maze procedure.

Mitral valve replacement with or without a concomitant Maze procedure in patients with atrial fibrillation

Heart ◽  
2010 ◽  
Vol 96 (14) ◽  
pp. 1126-1131 ◽  
Author(s):  
J. B. Kim ◽  
M. H. Ju ◽  
S. C. Yun ◽  
S. H. Jung ◽  
C. H. Chung ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Mitral Valve ◽  
Valve Replacement ◽  
Mitral Valve Replacement ◽  
Maze Procedure

scholarly journals Surgical Treatment of Atrial Fibrillation with Electhocautery during Mitral Valve Replacement

2016 ◽  
Vol 9 (1) ◽  
pp. 9-12
Author(s):  
Rampada Sarker ◽  
Manoz Kumar Sarker ◽  
Md Ataher Ali ◽  
Abdul Khaleleque Beg
Keyword(s):  
Atrial Fibrillation ◽  
Surgical Treatment ◽  
Mitral Valve ◽  
Valve Replacement ◽  
Mitral Valve Replacement ◽  
Heart Block ◽  
Complete Heart Block ◽  
Pulmonary Veins ◽  
Maze Procedure ◽  
Number Of Patients

Background: The Maze procedure is the surgical treatment that can alleviate the three complications of atrial fibrillation- tachycardia, thrombo-embolism and hemodynamic compromise. We attempted ablation of atrial fibrillation with monopolar eletrocautery.Our objective was to evaluate the results of surgical treatment of atrial fibrillation by ablation of the left atrial wallaround the pulmonary veins with conventional electrocautery during mitral valve replacement.Methods:This retrospective observational study was carried out in the Department of Cardiac Surgery, National Institute of cardiovascular diseases, Dhaka, Bangladesh,from January 2014 to February 2016. Ablation of AF with monopolar electrocautery was done during mitral valve replacement. Recurrence of atrial fibrillation, any new arrhythmia, complete heart block, bleeding and perforation was noted during the operation and in postoperative period. Patients were followed up upto three months after the surgery.Results: All the Patients were free from atrial fibrillation after the procedure. At discharge 100 %, after I month 96.2% and after 3 months 92.3 % patient were free from atrial fibrillation. No patients developed complete heart block requiring pace maker and there was no incidence of atrial perforation at the sites of ablation.Conclusion: The surgical treatment of the atrial fibrillation with elcetrocautery during mitral valve replacement is able to reverse this arrhythmia in a significant number of patients during short term follow-up without any complication.Cardiovasc. j. 2016; 9(1): 9-12

scholarly journals Giant Left Atrium in a case of Mitral stenosis with LA thrombus: A Case Report

2016 ◽  
Vol 9 (1) ◽  
pp. 73-74
Author(s):  
Jubayer Ahmad ◽  
Md Mokhlesur Rahman ◽  
Heemel Saha ◽  
Md Aftabuddin ◽  
Asit Baran Adhikary
Keyword(s):  
Case Report ◽  
Mitral Valve ◽  
Left Atrium ◽  
Valve Replacement ◽  
Mitral Valve Replacement ◽  
Male Patient ◽  
Mitral Valve Disease ◽  
Mitral Stenosis ◽  
History Of ◽  
Giant Left Atrium

A 52 year-old male patient of severe MS with mild MR with AF with a giant left atrium (LA size 70 mm) and history of CMC presented with symptoms. Giant left atrium is a condition characterized by huge enlargement of the left atrium with a diameter exceeding 65mm. It is most commonly associated with long standing rheumatic mitral valve disease. The patient underwent successful mitral valve replacement and removal of LA thrombus and discharged from hospital with adviceCardiovasc. j. 2016; 9(1): 73-74

scholarly journals Posterior leaflet preservation during mitral valve replacement for rheumatic mitral stenosis

2006 ◽  
Vol 53 (1) ◽  
pp. 13-17 ◽  
Author(s):  
P.L. Djukic ◽  
B.B. Obrenovic-Kircanski ◽  
M.R. Vranes ◽  
M.J. Kocica ◽  
A.Dj. Mikic ◽  
...  
Keyword(s):  
Mitral Valve ◽  
Valve Replacement ◽  
Mitral Valve Replacement ◽  
Mitral Stenosis ◽  
Posterior Leaflet ◽  
Rheumatic Mitral Stenosis ◽  
Long Term Follow Up ◽  
Group A ◽  
Group B

Mitral valve replacement with posterior leaflet preservation was shown beneficial for postoperative left vetricular (LV) performance in patients with mitral regurgitation. Some authors find it beneficial even for the long term LV function. We investigated a long term effect of this technique in patients with rheumatic mitral stenosis. We studied 20 patents with mitral valve replacement due to rheumatic mitral stenosis, in the period from January 1988. to December 1989. In group A (10 patients) both leaflets and coresponding chordal excision was performed, while in group B (10 patients) the posterior leaflet was preserved. In all patients a Carbomedics valve was inserted. We compared clinical pre and postoperative status, as well as hemodynamic characteristics of the valve and left ventricle in both groups. Control echocardiographyc analysis included: maximal (PG) and mean (MG) gradients; effective valve area (AREA); telediastolic (TDV) and telesystolic (TSV) LV volume; stroke volume (SV); ejection fraction (EF); fractional shortening (FS) and segmental LV motion. The mean size of inserted valve was 26.6 in group A and 27.2 in group B. Hemodynamic data: PG (10.12 vs 11.1); MG (3.57 vs 3.87); AREA (2.35 vs 2.30); TDV 126.0 vs 114.5); TSV (42.2 vs 36.62); SV (83.7 vs 77.75); EF (63.66 vs 67.12); FS (32.66 vs 38.25) Diaphragmal segmental hypokinesis was evident in one patient from group A and in two patients from group B. In patients with rheumatic stenosis, posterior leaflet preservation did not have increased beneficial effect on left ventricular performance during long-term follow-up. An adequate posterior leaflet preservation does not change hemodynamic valvular characteristics even after long-term follow-up.

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