Re-Operation for Mitral Valve Disease

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Port-access surgery as elective approach for mitral valve operation in re-do procedures.

BACKGROUND Re-do mitral valve procedures performed through median sternotomy carry substantial mortality and morbidity. To avoid complications of sternal re-entry and to provide adequate mitral valve exposure, antero-lateral thoracotomy has been suggested by some authors. METHODS From October 1997 to January 2007, 677 mitral valve operations have been performed in our centre using port-access...

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Mitral Valve Disease

The mitral valve is the most complex of the heart’s 4 valves and is the one most commonly associated with disease. There are 3 main conditions that affect the valve: Obstruction (stenosis), leakage (regurgitation), and bulging backward during valve closure (prolapse). Prolapse is the most common, occurring in up to 5% of the population, whereas stenosis is the least common, accounting for less ...

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Mitral Valve Disease

M itral valve leaflets consist of thin, pliable, fibrous material. The two leaflets—anterior and posterior—open by unfolding against the ventricular wall and close by apposition when the pressure in the left ventricle becomes greater than that in the left atrium. Mitral stenosis occurs when the mitral valve leaflets become stiffened, calcified, and unable to open completely during diastole. Thi...

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Degenerative mitral valve disease with emphasis on mitral valve prolapse.

Degenerative mitral valve disease is responsible for the syndromes of billowing mitral leaflet, mitral valve prolapse (MVP), floppy mitral valve, and flail leaflet. The pathology of these is mainly caused by myxomatous infiltration and fibroelastic deficiency. In the 1960s, Reid and Barlow and colleagues proposed that mid to late systolic clicks and apical late systolic murmurs were of mitral v...

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Durability of mitral valve repair for mitral regurgitation due to degenerative mitral valve disease.

Degenerative diseases of the mitral valve (MV) are the most common cause of mitral regurgitation in the Western world and the most suitable pathology for MV repair. Several studies have shown excellent long-term durability of MV repair for degenerative diseases. The best follow-up results are obtained with isolated prolapse of the posterior leaflet, however even with isolated prolapse of the an...

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ژورنال

عنوان ژورنال: Annals of Surgery

سال: 1955

ISSN: 0003-4932

DOI: 10.1097/00000658-195507000-00005