A simple approach to mitral valve repair: Posterior leaflet height adjustment using a partial fold of the free edge
نویسندگان
چکیده
منابع مشابه
Haircut mitral valve repair: posterior leaflet-plasty.
A 63-year-old man presented with symptomatic severe mitral regurgitat ion. Both trans-esophageal 3-D echocardiography and operative linear measurements showed a 25 mm long A2 anterior leaflet with a very wide (23 mm) prolapsing 30 mm long P2 posterior mid-scallop (Figure 1A,B). P1 and P3 were diminutive in height and width (Figure 2). A ‘haircut’ posterior leaflet-plasty was done to maintain le...
متن کاملEchocardiographic pattern of posterior mitral valve leaflet movement after mitral valve repair.
The pattern of movement of the posterior leaflet at the time of opening of the stenosed mitral valve has been described as either anterior or posterior in direction. In 32 patients who underwent mitral annuloplasty, the anatomical features of the mitral apparatus were correlated with the postoperative echocardiographic pattern of movements of the posterior leaflet. Anterior movement of the post...
متن کاملEffects of Mechanical Ventilation on Heart Geometry and Mitral Valve Leaflet Coaptation During Percutaneous Edge-to-Edge Mitral Valve Repair.
OBJECTIVES This study sought to evaluate a ventilation maneuver to facilitate percutaneous edge-to-edge mitral valve repair (PMVR) and its effects on heart geometry. BACKGROUND In patients with challenging anatomy, the application of PMVR is limited, potentially resulting in insufficient reduction of mitral regurgitation (MR) or clip detachment. Under general anesthesia, however, ventilation ...
متن کاملMitral Valve Repair for Mitral Valve Regurgitation with Papillary Muscle Displacement and Posterior Leaflet Prolapse
A case of abnormal chordae of the mitral valve (MV) associated with systolic anterior motion (SAM) is not commonly encountered in clinical practice. Here we report MV repair via the edge-to-edge technique in a 56-year-old male with MV regurgitation associated with papillary muscle displacement and posterior leaflet prolapse. Echocardiography revealed obstruction of the left ventricular outflow ...
متن کاملEndovascular Edge-to-Edge Mitral Valve Repair
Background—The edge-to-edge technique is an accepted method for the surgical repair of a regurgitant mitral valve. This study reports the initial use of an endovascular technology that enables a double-orifice edge-to-edge mitral valve repair without cardiopulmonary bypass in an animal model. Methods and Results—Adult pigs (n 14) were anesthetized, and left thoracotomy was performed for epicard...
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ژورنال
عنوان ژورنال: The Journal of Thoracic and Cardiovascular Surgery
سال: 2014
ISSN: 0022-5223
DOI: 10.1016/j.jtcvs.2014.06.075