Little is reported about primary cardiac osteosarcoma from mitral valve. We report a surgical case of primary cardiac osteosarcoma arising from mitral valve. The patient was a 54-year-old woman with congestive heart failure caused by mitral regurgitation due to a tumor (30 × 20 mm) from the posterior leaflet. We performed complete resection of the tumor combined with the mitral valve and replac...

A 78-year old male patient was referred because of progressive dyspnoea. A diastolic murmur was detected and echocardiography showed two intracardiac masses (Fig. 1A). A computed tomography scan confirmed massive calcification of the entire mitral valve (Fig. 1B and D). Associated with valve degenerative processes, mitral valve calcification implies challenging valve replacement procedures and ...

INTRODUCTION Due to the increase in average life expectancy and the higher incidence of cardiovascular disease with advancing age, more elderly patients present for cardiac surgery nowadays. Advances in pre- and postoperative care mean that more elderly patients can be operated on safely and with a satisfactory outcome. Currently, coronary artery bypass surgery, aortic and mitral valve surgery ...

OBJECTIVES Percutaneous edge-to-edge devices for non-surgical repair of mitral valve regurgitation are under clinical evaluation in high-risk patients deemed not suitable for conventional surgery. To address guidelines for initial therapy decision, we here report on 13 cases of surgery after failed percutaneous edge-to-edge mitral valve repair or attempted repair, and discuss methodology and pr...

OBJECTIVE To report the first 100 mitral valve repairs performed in a unit with an aggressive approach to conservative mitral valve surgery. DESIGN Case notes were reviewed retrospectively and patients invited for clinical examination and cross sectional and Doppler echocardiography. SETTING Tertiary cardiothoracic referral centre. PATIENTS Between December 1985 and April 1991 mitral valv...

Background: Primary intra cardiac tumors are rare. In this article, we present papillary fibroelastoma of mitral valve chordae. Case Presentation: A 35-year old man presented with atypical chest pain and palpitation. Physical examination and electrocardiogram were normal. Transesophageal echocardiography (TEE) revealed a mass of 1015 mm attached to chordae of anteromedial papillary muscle of ...

Successful mitral valve repair is dependent upon a full understanding of normal and abnormal mitral valve anatomy and function. Computational analysis is one such method that can be applied to simulate mitral valve function in order to analyse the roles of individual components and evaluate proposed surgical repair. We developed the first three-dimensional finite element computer model of the m...

Objective: Mitral valve repair in rheumatic patients is still a challenge. The aim of this study is to assess the results of mitral valve repair in rheumatic patients with rheumatic mitral insufficiency. Methods: 330 patients with rheumatic mitral insufficiency who had undergone mitral valve repair in the Heart Institute HC-FMUSP were assessed retrospectively, between 1985 and 2005. The mean ag...

BACKGROUND Myxomatous mitral valve with prolapse are classically seen with abnormal leaflet apposition during contraction of the heart. Hemodynamic disorders can result from eccentric mitral regurgitation usually caused by chordae tendinae rupture or papillary muscle dysfunction. Echocardiography is the gold standard for evaluation of leaflet flail and prolapse due to high sensitivity and speci...

the morphologic characteristics of the mitral valve (i.e., simple mitral valve prolapse vs. flail leaflet or the presence of severe myxomatous infiltration), cannot yet be analyzed. Recently, it has been suggested that mitral valve prolapse is uniformly a good prognosis (3). It is unclear how these various components of the clinical presentation of patients with mitral valve diseases contribute...