Congenital mitral regurgitation with Down syndrome

2018 ◽  
Vol 26 (2) ◽  
pp. 139-141
Author(s):  
Koji Tajima ◽  
Kentaro Honda ◽  
Mitsuru Yuzaki ◽  
Hideki Kunimoto ◽  
Yukikatsu Okada ◽  
...  
Keyword(s):  
Down Syndrome ◽  
Mitral Valve ◽  
Mitral Regurgitation ◽  
Oral Drug ◽  
Posterior Leaflet ◽  
Mitral Leaflet ◽  
Postoperative Course ◽  
Mitral Valve Plasty ◽  
Congenital Mitral Regurgitation ◽  
Valve Lesions

A 19-year-old man with Down syndrome had congenital mitral regurgitation. He had slight mental retardation and difficulty in performing independent oral drug administration. We planned mitral valve plasty to avoid postoperative anticoagulant therapy. The mitral valve lesions were complicated. A prolapsed anterior mitral leaflet, shortened posterior leaflet, abnormal cleft, abnormal papillary muscle, and enlarged annulus were observed. Successful mitral valve plasty was performed using several techniques. The postoperative course was uneventful, and no significant mitral regurgitation was found.

scholarly journals Isolated Cleft of the Posterior Mitral Leaflet in 8 Year Old Patient

2021 ◽  
pp. 1-2
Author(s):  
Merjema Karavdic ◽  
◽  
Mirza Halimic ◽  
Keyword(s):  
Mitral Valve ◽  
Clinical Importance ◽  
Mitral Annulus ◽  
Long Term Results ◽  
Posterior Leaflet ◽  
Mitral Leaflet ◽  
Posterior Mitral Leaflet ◽  
Endocardial Cushion Defect ◽  
Congenital Mitral Regurgitation

Cleft of the mitral valve is a rare cause of the congenital mitral regurgitation. Isolated cleft is uncommon finding and is more often found associated with some form of endocardial cushion defect. Cleft of the septal leaflet is found much more often than the defect in the posterior leaflet. Mitral clefts can extend to the mitral annulus or they can be less ''deep'' and show only minor regurgitation. Clinical importance of the isolated cleft of the mitral valve (ICMV) is that it can be successfully corrected by surgery and that it can have good long-term results.

Left ventricular function after mitral valve operation in congenital mitral regurgitation

2000 ◽  
Vol 30 (6) ◽  
pp. 737
Author(s):  
Young Min Eun ◽  
Jae Young Choi ◽  
Jong Kyun Lee ◽  
Jun Hee Sul ◽  
Seung Kyu Lee ◽  
...  
Keyword(s):  
Mitral Valve ◽  
Mitral Regurgitation ◽  
Left Ventricular Function ◽  
Ventricular Function ◽  
Left Ventricular ◽  
Mitral Valve Operation ◽  
Congenital Mitral Regurgitation ◽  
Valve Operation

scholarly journals Optimizing P2 Neochordal Length and Stability in Mitral Valve Repair With Use of a Polypropylene Loop

2020 ◽  
Vol 47 (3) ◽  
pp. 207-209
Author(s):  
Anil Ozen ◽  
Ertekin Utku Unal ◽  
Hamdi Mehmet Ozbek ◽  
Gorkem Yigit ◽  
Hakki Zafer Iscan
Keyword(s):  
Mitral Valve ◽  
Mitral Regurgitation ◽  
Mitral Valve Repair ◽  
Severe Mitral Regurgitation ◽  
Posterior Leaflet ◽  
Valve Repair ◽  
Chordae Tendineae ◽  
Optimal Length ◽  
Precise Method ◽  
Artificial Chordae

Determining the optimal length of artificial chordae tendineae and then effectively securing them is a major challenge in mitral valve repair. Our technique for measuring and stabilizing neochordae involves tying a polypropylene suture loop onto the annuloplasty ring. We used this method in 4 patients who had moderate-to-severe mitral regurgitation from degenerative posterior leaflet (P2) prolapse and flail chordae. Results of intraoperative saline tests and postoperative transesophageal echocardiography revealed only mild insufficiency. One month postoperatively, echocardiograms showed trivial regurgitation in all 4 patients. We think that this simple, precise method for adjusting and stabilizing artificial chordae will be advantageous in mitral valve repair.

Mitral perforation: a rare cause of congenital mitral regurgitation

2003 ◽  
Vol 13 (5) ◽  
pp. 472-474 ◽  
Author(s):  
Funda Öztunç ◽  
Irfan Levent Saltık ◽  
Halil Türkoğlu
Keyword(s):  
Mitral Valve ◽  
Mitral Regurgitation ◽  
Severe Mitral Regurgitation ◽  
Cross Sectional ◽  
Autologous Pericardium ◽  
Aortic Leaflet ◽  
Congenital Mitral Regurgitation

In a 4-year-old boy with severe mitral regurgitation, cross sectional echocardiography combined with Doppler interrogation confirmed the presence of isolated perforation of the aortic leaflet of the mitral valve. The perforation was closed with a patch of fresh autologous pericardium. Serial echocardiograms taken postoperatively showed no regurgitation across the mitral valve.

scholarly journals Influence of Chronic Tethering of the Mitral Valve on Mitral Leaflet Size and Coaptation in Functional Mitral Regurgitation

2012 ◽  
Vol 5 (4) ◽  
pp. 337-345 ◽  
Author(s):  
Ken Saito ◽  
Hiroyuki Okura ◽  
Nozomi Watanabe ◽  
Kikuko Obase ◽  
Tomoko Tamada ◽  
...  
Keyword(s):  
Mitral Valve ◽  
Mitral Regurgitation ◽  
Functional Mitral Regurgitation ◽  
Mitral Leaflet

Repair of the Mitral Valve Anterior Leaflet: Early Results

1996 ◽  
Vol 4 (4) ◽  
pp. 214-216 ◽  
Author(s):  
Taweesak Chotivatanapong ◽  
Pradistchai Chaiseri ◽  
Udom Leelataweewud ◽  
Promporn Petchyungthong
Keyword(s):  
Mitral Valve ◽  
Mitral Regurgitation ◽  
Mitral Stenosis ◽  
Anterior Leaflet ◽  
Mitral Leaflet ◽  
Anterior Mitral Leaflet ◽  
Early Results ◽  
Hospital Deaths ◽  
Prosthetic Ring

Between March 1994 and December 1995 a total of 27 cases of mitral valve anterior leaflet repair were undertaken at our institution. Five of the patients were excluded from the study; 3 with predominant mitral stenosis and 2 with atrial septal defect primum type. Of the 22 anterior mitral leaflet repair patients, there were 12 males and 10 females with a mean age of 41.5 years. Follow-up was complete in all patients and ranged from 2 to 22 months with a mean of 8.6 months. Mitral valve disease was attributed to rheumatic disease in the majority of cases (12). Other causes included degenerative (5), endocarditis (2), ischemic (2), and congenital conditions (1). Preoperatively there, were 18 cases of mitral regurgitation, and 4 of mixed mitral stenosis and regurgitation. The most commonly used surgical procedures were prosthetic ring implantation, chordal shortening and chordal transposition. Most of the patients required multiple procedures to accomplish the repair with an average of 3.4 procedures per patient. Neochordal implantation with polytetrafluoroethylene was performed in 4 cases. Reconstruction of the anterior mitral leaflet using autologous glutaraldehyde-treated pericardium was completed in 2 patients who had bacterial endocarditis. There were no hospital deaths nor late mortality in this series. None of the patients required reoperation during the follow-up. The patients' functional status as well as the severity of the mitral regurgitation improved markedly after the operation. We conclude from our study that repair of the mitral valve anterior leaflet is possible in selected patients with good early results.

Sign in / Sign up

Export Citation Format

Share Document