A Complex Mitral Valve Reconstruction: A Case Report

2005 ◽  
Vol 6 (2) ◽  
pp. 27
Author(s):  
Dimitrios Buklas ◽  
Massimo Massetti ◽  
Eric Saloux ◽  
Eugenio Neri ◽  
Olivier LePage ◽  
...  
Keyword(s):  
Mitral Valve ◽  
Surgical Techniques ◽  
Mitral Valve Insufficiency ◽  
Left Ventricular ◽  
Mitral Valve Reconstruction ◽  
Mitral Repair ◽  
Valve Reconstruction ◽  
Valve Insufficiency ◽  
Valve Function ◽  
Valvular Function

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.

scholarly journals Penetration cardiac wound associated with anterior mitral leaflet perforation: a case report and review of the literature

2019 ◽  
Vol 47 (4) ◽  
pp. 361-369
Author(s):  
D. A. Basarab ◽  
E. D. Ustyuzhin ◽  
D. N. Perutskiy ◽  
A. I. Basarab
Keyword(s):  
Mitral Valve ◽  
Mitral Valve Insufficiency ◽  
Left Ventricular ◽  
Mitral Leaflet ◽  
Anterior Mitral Leaflet ◽  
Penetrating Wound ◽  
Mitral Valve Reconstruction ◽  
Left Ventricular Outflow ◽  
Valve Insufficiency ◽  
The Right

The paper presents a  rare case of successful correction of an anterior mitral leaflet perforation. A 28-years old patient was referred with progressive heart failure symptoms at 18  weeks after he had a penetrating stab wound of the right ventricle. Massive pericardial effusion with cardiac tamponade risk and severe mitral valve insufficiency were found at examination. By the time of referral, spontaneous closure of the ventricular septal defect, which is an inevitable component of the “unhappy triad”, had happened. Accurate topical ultrasound diagnosis of the intracardial lesion that resulted from the penetrating wound of the left ventricular outflow allowed for a successful urgent mitral valve reconstruction with a xenopericardial patch and the insertion of a  28  mm MedEng annuloplasty band. To prevent any future pericardial constriction, subtotal pericardectomy by Cooley was performed.Conclusion: Perioperative echocardiography and subsequent follow up by cardiologist are obligatory in all cases of precordial wounds after discharge from hospital. Timely surgery for traumatic mitral leaflet perforation allows for a successful valvuloplasty.

A Case of Left Ventricular Rupture during Mitral Valve Reconstruction

2013 ◽  
Vol 42 (5) ◽  
pp. 399-402
Author(s):  
Norimasa Mitsui ◽  
Yoshiharu Hamanaka ◽  
Kenji Okada ◽  
Makoto Hamaishi ◽  
Shinji Hirai
Keyword(s):  
Mitral Valve ◽  
Left Ventricular ◽  
Mitral Valve Reconstruction ◽  
Ventricular Rupture ◽  
Left Ventricular Rupture ◽  
Valve Reconstruction

scholarly journals ALCAPA Presents in an Adult with Exercise Intolerance but Preserved Cardiac Function

2012 ◽  
Vol 2012 ◽  
pp. 1-3
Author(s):  
Yan Liu ◽  
Beth W. Miller
Keyword(s):  
Mitral Valve ◽  
Pulmonary Artery ◽  
Mitral Valve Insufficiency ◽  
Left Ventricular ◽  
Exercise Intolerance ◽  
Surgical Reconstruction ◽  
Cardiac Symptoms ◽  
Normal Left Ventricular ◽  
Valve Insufficiency ◽  
History Of

Anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) is a rare congenital anomaly that usually manifests as severe left-sided heart failure and mitral valve insufficiency during the first one to two months of life. The majority of these cases die in infancy if not corrected early upon presentation. Adulthood presentation is rare and most of the untreated patients who reach adulthood present with left ventricular dysfunction, severe mitral regurgitation, and sometimes myocardial infarction. Here we report a case of a 20-year-old woman with a history of exercise intolerance since childhood that was misinterpreted as asthma until a 2D-Echo revealed ALCAPA with RCA collaterals to the left anterior descending artery, preserved LV ejection fraction, and absence of apparent mitral valve abnormality. One month after the ALCAPA diagnosis, she successfully underwent surgical reconstruction of left main and pulmonary artery without any major complications. She had normal left ventricular function without apparent ischemic cardiac symptoms eighteen months after procedure.

scholarly journals Mitral Valve Disease in Thyroid Storm

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. A941-A942
Author(s):  
Sandra Rocio Rivera Menjura ◽  
Lia G Moyano Rivas ◽  
Camila Parraguez Gamboa ◽  
Cristobal Balmaceda ◽  
Juan P Peralta ◽  
...  
Keyword(s):  
Heart Failure ◽  
Mitral Valve ◽  
Invasive Mechanical Ventilation ◽  
Mitral Valve Insufficiency ◽  
Left Ventricular ◽  
Thyroid Storm ◽  
Multiple Infections ◽  
Mitral Insufficiency ◽  
Type I ◽  
Valve Insufficiency

Abstract Introduction: The cardiovascular effects that thyroid gland causes are widely studied. In fact, there is a known correlation between Graves’ Disease and mitral valve damage. We present the case of a patient admitted with thyroid storm and heart failure associated with severe structural damage of the mitral valve papillary muscle. Case Report: 24 year old woman with hyperthyroidism diagnosed 12 years ago, treated irregularly with thiamazole and propranolol, leaving treatment a year ago, presents dyspnea, class III functional capacity, diarrhea and logic dysphagia of a month of evolution. Heart rate over 170 bpm, respiratory rate 48 rpm and blood pressure 143/84 mmHg. Physical exam positive for exophthalmos, grade III goiter, crackles in both lung bases, pretibial myxedema and fulfilling criteria for a thyroid storm (65 points in Burch-Wartofsky Point Scale). First Lab Results: TSH<0.005µU/mL, free T4>7.7ng/dl and TRAB 37.8UI/L. Chest ray: Global cardiomegaly and pulmonary edema. EKG: Narrow complex supraventricular tachycardia. Thyroid ultrasound: Intrathoracic goiter. Transesophageal echocardiogram: Severe mitral insufficiency (Carpentier Type I and IIIB), right cavities and left ventricular enlargement, preserved right ventricular function and severe pulmonary hypertension (PSAP 71-76 mmHg). First treated with thiamazole, hydrocortisone IV, cholestyramine and sedation, falling time after into ventilatory failure and developing delirium, requiring invasive mechanical ventilation. Tested positive for COVID- 19. Starts preparation with Lugol and undergoes Total Thyroidectomy. After surgery develops severe hypocalcemia secondary to transitory hypoparathyroidism. During hospitalization presents multiple infections including pneumonia (Pseudomonas Aeruginosa), lung aspergillosis, bacteriuria (Enteroccocus Faecium) and candiduria (Candida Albicans and Glabrata), each one treated with multiple antibiotics and vasoactive drugs. Once stable, mitral valve replacement is realized, after which, the patient progresses favorably being discharged with programmed ambulatory controls. Conclusion: We report a case of a patient who was presented with positive thyroid storm criteria associated with heart failure and severe mitral valve insufficiency. The case gets complicated as multiple infections take place, including COVID-19. Fortunately, because of the early and aggressive multidisciplinary management, the patient evolved favorably, overcoming the life-threatening conditions she went through. Key Words: Thyroid storm, mitral valve insufficiency, heart failure. Bibliography: Klein I, Danzi S. Thyroid disease and the heart. Circulation. 2007 Oct 9;116(15):1725-35. doi: 10.1161/CIRCULATIONAHA.106.678326. Erratum in: Circulation. 2008 Jan 22;117(3):e18. PMID: 17923583.

Robot-Assisted Mitral Valve Repair with Posterior Leaflet Extension for Rheumatic Disease

2017 ◽  
Vol 12 (1) ◽  
pp. 60-63
Author(s):  
Burak Onan ◽  
Unal Aydin ◽  
Zeynep Kahraman ◽  
Korhan Erkanli ◽  
Ihsan Bakir
Keyword(s):  
Mitral Valve ◽  
Mitral Valve Repair ◽  
Mitral Valve Insufficiency ◽  
Posterior Leaflet ◽  
Valve Repair ◽  
Mitral Repair ◽  
Autologous Pericardial Patch ◽  
Valve Insufficiency ◽  
Robot Assistance ◽  
Mitral Disease

Mitral valve repair has been one of the widely used applications of robotic surgery. Patients with rheumatic mitral disease usually present at an early age with thickening, retraction, or fusion of the leaflets and subvalvular apparatus. Robotic mitral repair can be feasible among this group of patients, rather than replacement. Herein, we describe a young woman who presented with rheumatic mitral valve insufficiency. A complex mitral repair with posterior leaflet extension with an autologous pericardial patch was successfully conducted using robot assistance.

Modified Surgical Techniques and Long-Term Outcome of Mitral Valve Reconstruction in 111 Children

2008 ◽  
Vol 86 (2) ◽  
pp. 604-613 ◽  
Author(s):  
Roland Hetzer ◽  
Eva B. Maria Delmo Walter ◽  
Michael Hübler ◽  
Vladimir Alexi-Meskishvili ◽  
Yuguo Weng ◽  
...  
Keyword(s):  
Mitral Valve ◽  
Surgical Techniques ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Mitral Valve Reconstruction ◽  
Valve Reconstruction
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