scholarly journals The surgical treatment of congenital mitral insufficiency. Morphology of mitral valve in the view of mitral valvuloplasty.

1990 ◽  
Vol 19 (6) ◽  
pp. 1355-1356
Author(s):  
H. Ohno
Keyword(s):  
Surgical Treatment ◽  
Mitral Valve ◽  
Mitral Insufficiency ◽  
Mitral Valvuloplasty

Surgical treatment of acute episodes of rheumatic fever

1992 ◽  
Vol 2 (3) ◽  
pp. 244-246
Author(s):  
Pablo Maria Alberto Pomerantzeff ◽  
Rachel Snitcowsky ◽  
Isabelle Vianna Trevisan ◽  
Miguel Barbero Marcial ◽  
Geraldo Verginelli ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Mitral Valve ◽  
Good Condition ◽  
Aortic Insufficiency ◽  
Mitral Insufficiency ◽  
Inflammatory Condition ◽  
History Of ◽  
Laboratory Examinations ◽  
High Doses

AbstractEight patients, four males and four females, age five to 13 years old (average: 11 years) have undergone surgery in the acute phase of rheumaticfever. The patients presented a history of rheumatic activity characterized by the presence of migratory arthritis and carditis. All patients had severe acute mitral insufficiency, while one of them had associated aortic insufficiency. Laboratory examinations revealed the presence of an acute inflammatory condition. All patients had acute heart failure and were treated initially with high doses of diuretics, peripheral vasopressor and vasodilator amines, together with cardiotonic drugs, without improvement. Surgical treatment was indicated after a period of observation between 24 hours and five days. In five patients, the Doppler echocardiogram revealed rupture and elongation of tendinous cords. Two of them had acute dilatation of the mitral ring, and one had isolated acute dilatation of the mitral ring. Five patients underwent valvar replacement and, in three, valvar repair was carried out. Two patients, who were in cardiogenic shock at the time of their referral, died in the operating room following replacement of the mitral valve. All patients who underwent repair of the mitral valve were in good condition at the last follow-up, six to 27 months after surgery.

scholarly journals Successful surgical treatment approach for mitral valve vegetation of infective endocarditis after severe soft tissue infection with mediastinitis.

2021 ◽  
Author(s):  
Kenichiro Uchida ◽  
Yosuke Takahashi ◽  
Toshihiko Shibata ◽  
Yasumitsu Mizobata
Keyword(s):  
Surgical Treatment ◽  
Infective Endocarditis ◽  
Soft Tissue ◽  
Mitral Valve ◽  
Soft Tissue Infection ◽  
Treatment Approach ◽  
Mitral Valvuloplasty ◽  
Right Thoracotomy ◽  
Severe Soft Tissue ◽  
Mitral Valve Vegetation

Transesophageal echocardiography is mandatory if you do suspect infective endocarditis. By approaching via a small right thoracotomy, vegetectomy and mitral valvuloplasty following severe mediastinitis were successfully accomplished without any complications.

MODERN PRINCIPLES OF DIAGNOSIS AND SURGICAL TREATMENT OF ISCHEMIC MITRAL INSUFFICIENCY

2021 ◽  
pp. 011-015
Author(s):  
Rashad Mahmudov
Keyword(s):  
Heart Disease ◽  
Surgical Treatment ◽  
Mitral Valve ◽  
Ischemic Heart Disease ◽  
Myocardial Revascularization ◽  
Mitral Valve Insufficiency ◽  
Mitral Insufficiency ◽  
Valve Insufficiency ◽  
Severe Degree ◽  
Preoperative Examination

The purpose of the study is to evaluate and analyze the results of surgical treatment of patients with ischemic mitral insufficiency. Material and methods. The results of the examination and surgical treatment of 35 patients with ischemic mitral insufficiency are analyzed. In the operative period, in order to identify the degree of mitral insufficiency and the valvular apparatus, an echocardiography was performed, where the diameter of the fibrous ring, the interpapillary distance, the annulopapillary distance, the area of the cusp tension, and the depth of the coaptation of the valves were determined. Results. A preoperative examination proved the presence of mitral valve insufficiency with regurgitation of varying degrees. 15 patients underwent myocardial revascularization, 20 patients underwent myocardial revascularization + various options for correction of ischemic mitral insufficiency. After the operation, a significant improvement in the spatial-geometric correlation of the LV and mitral valve by reducing the tension forces acting on the valves and in the group of patients undergoing myocardial revascularization + various options for the correction of ischemic mitral insufficiency as the elimination of regurgitation. Conclusion. In patients with ischemic heart disease after echocardiographic studies, having determined the degree of mitral insufficiency with its moderate and severe degree, it is necessary to have a surgical correction of the mitral valve in its apparatus; the use of myocardial revascularization + various options for the correction of ischemic mitral insufficiency gives more tantalizing results than isolated myocardial revascularization.

298 Mitral valve repair is the key in surgical treatment of primary dilated cardiomyopathy with heart failure

2006 ◽  
Vol 5 (1) ◽  
pp. 69-69
Author(s):  
N RADOVANOVIC ◽  
B MIHAJLOVIC ◽  
S NICIN ◽  
Z JONJEV ◽  
L PETROVIC ◽  
...  
Keyword(s):  
Heart Failure ◽  
Surgical Treatment ◽  
Mitral Valve ◽  
Dilated Cardiomyopathy ◽  
Mitral Valve Repair ◽  
Valve Repair

scholarly journals Percutaneous balloon mitral valvuloplasty in comparison with open mitral valve commissurotomy for mitral stenosis during pregnancy

2001 ◽  
Vol 37 (3) ◽  
pp. 900-903 ◽  
Author(s):  
José A.M de Souza ◽  
Eulogio E Martinez ◽  
John A Ambrose ◽  
Claudia M.R Alves ◽  
Daniel Born ◽  
...  
Keyword(s):  
Mitral Valve ◽  
Mitral Stenosis ◽  
Mitral Valvuloplasty ◽  
Percutaneous Balloon Mitral Valvuloplasty ◽  
Percutaneous Balloon

Homologous Aortic-Valve-Segment Transplants as Surgical Treatment for Aortic and Mitral Insufficiency

Angiology ◽  
1956 ◽  
Vol 7 (5) ◽  
pp. 466-471 ◽  
Author(s):  
Gordon Murray ◽  
Walter Roschlau ◽  
William Lougheed
Keyword(s):  
Surgical Treatment ◽  
Aortic Valve ◽  
Mitral Insufficiency

Abstract 13699: A True World Picture - Surgical Revision After Percutaneous Mitral Valve Repair With the Mitraclip Device

Circulation ◽  
2014 ◽  
Vol 130 (suppl_2) ◽  
Author(s):  
Grzegorz Hirnle ◽  
Joerg Seeburger ◽  
Michael A Borger ◽  
Jens Garbade ◽  
Martin Misfeld ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Mitral Valve ◽  
Left Ventricular ◽  
Ventricular Assist ◽  
World Picture ◽  
Percutaneous Mitral Valve Repair ◽  
Left Ventricular Assist ◽  
High Operative Risk ◽  
Heart Center ◽  
Mid Term Results

Background: Transcatheter mitral valve (MV) repair is of increasing interest facing however questionable mid term results. We herein report MV reference center experience of 18 patients who underwent MV surgery after failed percutaneous MV repair with MitraClip device (Evalve, Menlo Park, CA). Methods: Between June 2010 and October 2013, a total of 141 patients with severe mitral regurgitation (MR) underwent MitraClip procedure at Heart Center Leipzig. 11 patients (7.8%) needed surgical treatment for failed MV repair with the MitraClip device. For the same reasons we admitted 7 patients who underwent MitraClip procedure in other cardiac surgery centers. Mean EuroScore II of the patients was 23,51 (5,17-60,14). Results: From the group of 18 patients undergoing surgical treatment after MitraClip repair, 14 patients (77.7%) received one or more clip-implants and 4 patients (22.2%) suffered from failed MitraClip implantation. All patient were symptomatic (n=9, 50% - NYHA III; n=9, 50% - NYHA IV). The primary indications for surgery were: partial clip detachment (n=11, 61.1%), failed MitraClip implantation (n=4, 22.2%), recurrent MR greater than moderate (2+) (n=3, 16.6%), acute mitral valve endocarditis (n=1, 5.5%), mitral ring and clip detachment (n=1, 5.5%). 13 patients (72.2%) underwent MV replacement, 3 patients (16.6%) received left-ventricular assist device (LVAD), 2 patients (11.1%) underwent MV repair. One-month mortality reached 27,8% (n=5), and the overall mortality reached 50% (n=9). Conclusions: MV repair was feasible in only 2 cases (11.1%). Despite the high operative risk, surgical treatment after percutaneous MV repair failure with the MitraClip device is an option to be considered.

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