Patch repair in infective native mitral valve endocarditis

2021 ◽  

Infective native mitral valve endocarditis occurs rarely. Mitral valve repair, although surgically challenging, is favored over replacement in the latest European and American guidelines. In this video tutorial, patch repair of the posterior mitral valve leaflet is performed in a 61-year-old patient with endocarditis caused by Streptococcus agalactiae.

2021 ◽  
Vol 17 (11) ◽  
pp. e932-e941
Author(s):  
Federico M. Asch ◽  
Stephen H. Little ◽  
G. Burkhard Mackensen ◽  
Paul A. Grayburn ◽  
Paul Sorajja ◽  
...  

2017 ◽  
Vol 26 (4) ◽  
pp. 559-565 ◽  
Author(s):  
Anton Tomšič ◽  
Yasmine L Hiemstra ◽  
Daniella D Bissessar ◽  
Thomas J van Brakel ◽  
Michel I M Versteegh ◽  
...  

2021 ◽  
pp. 021849232110068
Author(s):  
Kosuke Nakamae ◽  
Takashi Oshitomi ◽  
Kentaro Takaji ◽  
Hideyuki Uesugi

Reports of mitral valve replacement after MitraClip removal have increased; however, surgical re-intervention is risky due to patients’ frailty and comorbidities. We report a case of mitral valve repair after MitraClip failure using the daVinci surgical system for a 55-year-old man with many comorbidities and two previous cardiac surgeries. The daVinci surgical system allows detailed handling with high-resolution visualization and endowrist instruments that provide surgeons with clear three-dimensional images and stabilized handling. This procedure enables us to remove the MitraClip precisely while preserving the mitral valve leaflet.


Author(s):  
Rohit Rai ◽  
Gajanan D. Gawande ◽  
Shakil S. Shaikh ◽  
Narender O. Bansal

Recurrent attacks of rheumatic fever can lead to mitral stenosis. In a country like India mitral stenosis can develop in the first decade of life. Our patient presented with recurrent mitral stenosis at twelve years of age. He had undergone balloon mitral valvotomy at the age of seven. However this time he developed anterior mitral valve leaflet tear after balloon mitral valvotomy and had to be taken for mitral valve repair. Due to severe fibrosis of mitral valve the patient underwent mitral valve replacement. He was started on warfarin and dose titrated according to PT / INR. Patient was discharged but has to be on lifelong anticoagulation from the age of twelve.


2019 ◽  
Vol 14 (1) ◽  
Author(s):  
Muhammad Tariq ◽  
Ibrahim Zahid ◽  
Shahid Sami

Abstract Background Mitral valve aneurysm (MVA) is a saccular outpouching of the mitral leaflet which expands on systole and collapses during diastole. The case of MVA was first described in 1729 by Morand. It is one of the rare entities with a reported incidence of only 0.2–0.29% and no such case reported in Pakistan before. Case presentation A 51 year old female presented with dyspnea and chest pain for 3 months. Upon investigating, trans-esophageal echocardiography (TEE) revealed thickened anterior mitral valve leaflet with rolled up margins, forming an aneurysm, with severe mitral regurgitation. Subsequently, the valve was evaluated intra-operatively for repair but eventually had to be excised and then successfully replaced with a bioprosthetic valve. Conclusions TEE is an excellent technique to confirm the diagnosis of a mitral valve leaflet aneurysm, and depending upon the severity of the defect, valve repair can be attempted but replacement becomes the most suitable treatment modality, once repair is deemed impossible. We hereby report a rare case, where timely diagnosis, appropriate surgical intervention and regular post-operative follow up helped in achieving good prognosis of this rare entity.


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