Objective: Moderate to severe irreversible mitral regurgitation secondary to myocardial infarction is an independent risk factor for reduced long-term survival. Late effects of correction of mitral incompetence concomitant with coronary artery bypass grafting (CABG) are less well known and the choice of mitral valve procedure is still debated. Methods: From 1988 to 1998, 93 consecutive patients...

Two papers in this issue demonstrate clinical consequences from the presence of clinically silent mitral regurgitation in paediatric and adolescent populations. Both are potentially important as the development of progressive doxorubicin cardiomyopathy 1 and the presence of rheumatic carditis 2 have long term implications. A parallel example, which highlights some of the problems inherent in at...

OBJECTIVES to evaluate the structural and functional heart abnormalities in women with mitral regurgitation during pregnancy. INTRODUCTION Women with mitral regurgitation progress well during pregnancy. However, the effects on the heart of the association between pregnancy and mitral regurgitation are not well established. METHODS This is a case-control, longitudinal prospective study. Echo...

an 80-year-old diabetic man with severe aortic stenosis was admitted to our hospital for cardiogenic shock complicating non-st-elevation myocardial infarction. echocardiographic evaluation showed also a severe degree of both left ventricular dysfunction and mitral regurgitation. the patient was initially stabilized with inotropes and mechanical ventilation was necessary because of concurrent pu...

BACKGROUND To investigate the association between the coaptation height of mitral valve and mitral regurgitation after mitral valve repair. METHODS From Sep 2014 to Jun 2015, 20 patients underwent mitral valve valvuloplasty for mitral regurgitation were included. Ring annuloplasty was performed in all cases. Mitral valve short-axis dimension (MVd), coaptation height (CH), Left ventricular eje...

BACKGROUND Papillary muscle rupture is one of the catastrophic mechanical complications following myocardial infarction. Rupture leads to acute mitral valve regurgitation, pulmonary edema, and cardiogenic shock. Survival is dependent on prompt recognition and surgical intervention. CASES REPORT We present two cases where acute myocardial infarction was complicated by papillary muscle rupture ...

BACKGROUND This study was designed to evaluate the incidence and mechanisms of mitral regurgitation following mitral balloon valvotomy (MBV) in 40 consecutive patients with symptomatic tight pliable mitral stenosis. METHODS AND RESULTS Transthoracic echocardiography with color flow mapping was performed before and 24 hours after the procedure. Patients who developed significant mitral regurgi...

Ischemic mitral regurgitation is mitral insufficiency caused by myocardial infarction. Recent studies suggest that mitral leaflets have the potential to grow and reduce the degree of regurgitation. Leaflet growth has been associated with papillary muscle displacement, but role of annular dilation in leaflet growth is unclear. We tested the hypothesis that chronic leaflet stretch, induced by pap...

Abstract A 33-year-old female patient with advanced idiopathic pulmonary artery hypertension underwent bilateral lung transplantation. The postsurgical course was complicated by prolonged mechanical ventilation and acute hypoxemia with recurrent episodes of pulmonary edema. An echocardiogram revealed improved right-sided pressures along with a dilated left atrium, a structurally normal mitral v...

Among 543 necropsy patients over age 14 years with severe chronic valvular heart disease, Aschoff bodies were found in 11 patients (2%). The ages of the 11 patients ranged from 18 to 68 years (avg 38), and nine had had a history of acute rheumatic fever earlier in life. Clinically, nine of the 11 patients had mitral stenosis with or without dysfunction of one or more other cardiac valves, one h...