Previous malignancy is an independent predictor of follow-up mortality after percutaneous treatment of mitral valve regurgitation by means of MitraClip

2017 ◽  
Vol 35 (2) ◽  
pp. e12239 ◽  
Author(s):  
Alper Öner ◽  
Hüseyin Ince ◽  
Liliya Paranskaya ◽  
Guido Schröder ◽  
Mohammad Sherif ◽  
...  
Author(s):  
Giuseppe Speziale ◽  
Marco Moscarelli

Mitral valve regurgitation may require complex repair techniques that are challenging in minimally invasive and may expose patients to prolonged cardiopulmonary bypass and cross-clamp times. Here, we present a stepwise operative approach that may facilitate the repair of the mitral valve in a minimally invasive fashion and may be carried out even when multiple posterior segments are involved. This how-to-do article presents a method that was performed in 148 patients that were referred to our institution for severe organic mitral regurgitation between 2008 and 2016. At mean ± SD follow-up of 45.5 ± 27 months, freedom from recurrent of mitral regurgitation 2+ or greater and reoperation was 95.2%.


2015 ◽  
Vol 2015 ◽  
pp. 1-4
Author(s):  
Nathalie Jeanne Magioli Bravo-Valenzuela ◽  
Guilherme Ricardo Nunes Silva

We report a case of anomalous left coronary artery from the pulmonary artery (ALCAPA) or Bland-White-Garland syndrome, present the challenges of performing a differential diagnosis, and discuss the treatment of the syndrome. Although ALCAPA is a rare congenital heart disease, it is one of the most common causes of myocardial ischemia in childhood and presents a diagnostic challenge. A four-year-old girl was referred to a pediatric cardiologist for evaluation of mitral valve regurgitation murmur and heart failure. The transthoracic echocardiogram demonstrated the left coronary artery (LCA) not arising from the aorta, presence of coronary collateral circulation, and moderate mitral valve regurgitation. ALCAPA was confirmed using angiotomography. The LCA was surgically reimplanted into the aorta. After 3 years of postoperative follow-up, the patient developed an LCA aneurysm. Diagnosis of cardiac ischemia in childhood remains a challenge, and careful evaluation of coronary arteries on the echocardiogram is an important tool. In this report, we present a case of ALCAPA with an uncommon postoperative outcome.


2013 ◽  
Vol 2 ◽  
pp. 126-131
Author(s):  
Piotr Kübler ◽  
Dorota Kustrzycka-Kratochwil ◽  
Artur Telichowski ◽  
Tomasz Witkowski ◽  
Waldemar Banasiak ◽  
...  

2015 ◽  
Vol 34 (9) ◽  
pp. 515-524 ◽  
Author(s):  
Duarte Cacela ◽  
António Fiarresga ◽  
Luísa Branco ◽  
Ana Galrinho ◽  
Pedro Rio ◽  
...  

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